2022 Item Donation Form | Cancer Foundation for New Mexico

Deadline for Item Donations: December 3, 2021

INSTRUCTIONS:

Please fill out the form below and click Submit.
You will receive an emailed confirmation including all of the information you have submitted in this form. The solicitor/donor and our Development and Event Assistant will receive a copy of this email as well.

For all physical items, please print out your email confirmation and keep the printout with the item itself until Friday, March 11th, 2022. You may deliver the item & printout to the Santa Fe Convention Center during item intake on between 9am – Noon.
If your item is a gift certificate, please mail it along with a printout of your email confirmation by Dec. 3^rd to the Cancer Foundation for New Mexico (CFFNM) at P.O.Box 5038, Santa Fe, NM 87502.
All donations become the property of CFFNM unless arrangements to reclaim unsold items have been made at the time of donation.
This form below must be submitted by Dec. 3rd to qualify for donor acknowledgment in the auction program.

If you have any questions, please submit them to the Development and Event Assistant at info@cffnm.org or by calling 505-955-7931 x5.

ITEM DESCRIPTION

Item Name:*

(e.g. The Tree of Life by Gustav Klimt, oil painting on canvas, 1909}

Item Value:*

Item Description:*

Please be as detailed as possible so we can write a compelling description. Do exclusions, restrictions, or expiration dates apply? For artwork, include dimensions and medium. For apparel, include size and designer. If the donation is a dining experience, is gratuity or alcohol included? NOTE: Artwork must be ready to hang.

If gift certificate, expiration date:

Gift Certificate provided by donor?

Yes

DONOR INFORMATION

Donor Type:*

Individual

Business

Donor Or Business Name(s) To Be Recognized:

Please list names of any individual or business who should be recognized. List as it should appear in print. If using a business name, type the business in the "First" field below. If you do not want your name recognized in print, please leave this field blank.

First Last

Business or Donor Contact Name:*

Please list name of individual who approved the donation.

First Last

Donor Address:*

Required for acknowledgment.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone:*

Email:*

SOLICITOR INFORMATION

Important: Please provide a completed form to your donor so it can be kept with the donation item. If you don't have a solicitor please enter "same as above" in the boxes below.

Solicitor Name:*

First Last

Phone*

Email:*

All proceeds benefit the Cancer Foundation for New Mexico, a 501c3 corporation, Tax ID 41-2079799. Please consult your tax advisor as to the deductibility of your donation.