Sponsorship & Underwriting Form

Donor Name & Title*
First Last Title
Organization or Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Contact Name
(If different from donor name)
First Last
Item(s) Donated*
Description of Item(s)*
Restriction on Item(s)*
Value of Each Item(s)*
Expiration Date
(If Applicable)
MM slash DD slash YYYY
Is this a gift certificate?*
- Yes
- No
Do you need The Warren Center to create the gift certificate for you?*
- Yes
- No
Pickup or Delivery?*
- Pickup
- Delivery
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Notes
Gifts of property or cash to The Warren Center qualify as charitable contributions and are tax-deductible in accordance with applicable laws. The Warren Center, Tax ID #75-1282040 is a 501(c)(3) not for profit organization.
**All items donated will be used for the benefit of The Warren Center, even if not sold in auction.