2022 Donor Form 2022 Donor Form Business Name (exactly as it should be listed): Contact Person: Title: Email Address: Website Business Address: Business Address: Business Address: Business Address: City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone: Cell Phone: Type of Business: Type of Contribution: Raffle Coupons In-kind Donation Description of Contribution & Remarks or Special Instructions: Please Upload your Latest Logo: Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Please make sure that all information provided is correct. Once submitted, this form cannot be edited. Scroll down past the next section and hit "Submit." Please call Lois Helwig at (484) 995-2112 with any raffle questions. Please call Susan Hickey at (732) 778-1200 or Ann Howat at (239) 631-9375 with any other questions. For office use only Date Confirmation Sent to Donor: Date Donation Expected: Date Donation Received: Naples Garden Club Representative: NGC Representative Email: NGC Representative Phone: Cell: Contribution Acknowledged: If you are human, leave this field blank.