12th Annual C.H.O.I.C.E. Awareness Event : A Taste of the Community-Vendor

A Taste of the Community Vendor Commitment Form

C.H.O.I.C.E. appreictates your support!

We are a 501 (c)(3) tax exempt charitable organization.

Our federal tax ID number is: 61-1143413.

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* 1. Name of Business

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* 2. What is your street address?

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* 3. Best Contact Information

Name

Phone Number

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* 4. Name of Artwork Donated

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* 5. Photo of Artwork

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 6. Please include an invoice showing value of donated item(s) for record keeping and tax purposes (tax id number above).

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 7. As a vendor, I/We agree to donate a piece of artwork to the silent auction fundraiser to benefit the 12th Annual C.H.O.I.C.E. Awareness on Sunday, August 23, 2020, from 5:00 p.m. to 10:00 p.m. at 21C Museum Hotel.

I agree

I disagree

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* 8. Type the name of the responsible party to indicate agreement of the above statement