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Make a
difference! Support the SCCA PAC!
____ Yes, we want to support the PAC Auction
by donating the item(s) listed below
____ Yes,
we want to support the PAC Auction and will contribute
money so you can buy items for the auction. We
are sending a check payable to SCCA PAC
for (circle one) $500, $1,000, or $__________
____ No, company policy prohibits participation in
political activities, but we will be a sponsor
supporting
the non-political part of the evening
in the amount of $__________ (Please make check
payable to SCCA)
Name
_____________________________________________
Title ___________________________
Company
_________________________________________________________________________
Address
_________________________________________________________________________
City/State/Zip
_______________________________________________________________
Phone/FAX_____________________________________
E-mail _______________________
Signature:
____________________________________________
Date:________________________
Is the donation being made by
____ Company ___ Individual ___ Organization
STATE LAW REQUIRES US TO REPORT YOUR NAME,
ADDRESS, OCCUPATION & EMPLOYER OR NAME OF
BUSINESS IF SELF-EMPLOYED. YOUR CONTRIBUTION
CANNOT BE ACCEPTED WITHOUT THAT INFORMATION.
Please print clearly how you would
like to be
included in donor recognition material:
__________________________________________________________________________________________
Item Description
(Include information for catalog description
such as interesting facts, unusual aspects,
size, color, date available, etc. Use a
separate sheet if necessary. All items should be
delivered to SCCA at 6055 E. Washington Blvd.,
#200, Los Angeles, CA 90040 by March 28.
If item is not currently available or is
intangible, please send a letter or
certificate to represent the item
to SCCA by March 28.)
________________________________________________________________________________
________________________________________________________________________________
Estimated Value
$______________________________
Item
Limitations (Please specify any limitations on
item donated (i.e. dates, time of year, number
of
persons, expiration dates, etc.)
________________________________________________________________________________
________________________________________________________________________________
Name of individual who contacted you:
_____________________________________________
Fax to SCCA at
(323) 726-2366. Please mail checks or
certificates to: SCCA PAC, ID #881014, 6055 E.
Washington Blvd., Suite 200, Los Angeles, CA
90040
Contributions to SCCA PAC are not
deductible for tax purposes. Contact your
tax advisor for specific advice.
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