Microsoft Corporation Application

							Microsoft Corporation        Tel 425 882 8080
One Microsoft Way            Fax 425 936 7329
Redmond, WA 98052-6399       http://www.microsoft.com/




                         MICROSOFT AUCTION/FUNDRAISER DONATION APPLICATION
Please complete this form and attach the following:
 Brief description of your fundraising event written on the organization’s letterhead. If you represent a public school or
    governmental agency, submit your description on letterhead that identifies you as part of that organization.
 Copy of your organization’s 501(c)3 tax exempt status letter.

DATE OF EVENT:
ORGANIZATION NAME:

CHIEF EXECUTIVE’S NAME:

ORGANIZATION ADDRESS:
CITY, STATE ZIP:

TELEPHONE:                                (              )                           FAX:           (       )


YEAR ORGANIZATION WAS INCORPORATED:
Is the organization name above the same as it appears on the IRS letter of determination?                               YES         NO
If no, please explain:


Please indicate your organization’s primary focus:
Human Services                 Education                         Environment                Civic               Arts & Culture

CONTACT’S NAME & TITLE (if different):

TELEPHONE:                                       (           )                       FAX:           (       )

SHIPPING INFORMATION
(can not be a P.O. Box):



PLEASE INDICATE YOUR 1ST & 2ND CHOICE OF CD-ROM SOFTWARE YOU WOULD LIKE (limit of one per event):

                     Microsoft Product Name                                             Part Number              Please Rank Your Top 3 Choices
Microsoft® Windows XP Home Edition                                                       09-00990
Microsoft® Office 2003: Student & Teacher Edition                                       503-00298
Microsoft® Office Publisher 2003                                                        164-02811
Microsoft® Student with Encarta Premium 2007                                             96J-00064
Microsoft® Digital Image Suite Plus                                                     C6Q-00001
Microsoft® Money Premium 2007                                                           S66-00026
Microsoft® Streets & Trips 2007                                                         B17-00333
Microsoft® Flight Simulator X Deluxe Edition                                            9AM-00014
Microsoft® Age of Empires III: The War Chiefs                                           DF7-00001
Microsoft® Zoo Tycoon 2                                                                  9LA-00059
                                        Please note that his application may be modified due to product availability.

                                                              PLEASE MAIL APPLICATION TO:
                                                                   Microsoft Corporation
                                                               205 108th Ave NE, Suite 400
                                                                    Bellevue, WA 98004
                                                             Attn: Pacwest Community Affairs


                                                                                                                                         February 2007