Cleary University Auction May 2010 Gift Acquisition Form Date: May 1, 2010 Location: Johnson Center, 3725 Cleary Drive, Howell Please PRINT your name as you would like it to appear on all printed materials. Company Name Contact Person Signature Date Address Phone Fax Email Description of Gift Gift’s Estimated Value $ Conditions / Restrictions Please check: Gift accompanies form Cleary University should make a gift certificate for this item Cleary University should make arrangements for gift pick up Please return to Auction Headquarters: 3601 Plymouth Rd., Ann Arbor, MI 48105 Fax: 734.332.4646, email@example.com Office Use Only: Depot #: The deadline for inclusion in the Catalog #: Auction Catalog is April 5. Receipted #: Cleary University is a 501(c)3 organization; Entered #: the value of your gift is tax deductible.
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