ICBM PAC Silent Auction 2019

Fill this out to get your gift on the silent auction list for attendees to look at before the auction starts.

Please bring your gift to the registration desk by Thursday night (August 1st)

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* 1. Gift Name

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* 2. Gift Description

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* 3. Gift Value

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* 4. Cash Donation (Don't have time to shop? We can do it for you!) Please enter the donation amount below. We will send you an invoice.

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* 5. Should ICBM recognize someone else for this donation? If so, please list here

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* 6. PERSONAL Contact Information

Name

Company

PERSONAL Address

PERSONAL City

PERSONAL State

PERSONAL Zip

PERSONAL Email Address

Phone Number

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* 7. I have read the State Law Governing PAC Donations

Yes

*Corporate contributions or donated items are prohibited. All items donated to, or purchased at, the Silent Auction must be by individuals. State law requires the name and address of any person whose PAC contribution is valued in excess of $20. If the contribution is greater than $100, the contributor’s employer’s name must also be reported. ICBM PAC contributions are not tax deductible as charitable contributions for federal income tax purposes. All contributions to ICBM PAC are voluntary. You may refuse to contribute without reprisal.

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* 8. Cash Donation (Don't have time to shop? We can do it for you!) Select the amount below.

$100

$200

$500

Other Amount (please specify)