Ag Live Alumni and Friends Tailgate Live Auction and Silent Auction Donation Form

Donation Information

Please give a complete and detailed description of the item, service, and/or privileges you are donating including photographs, brochures, or printed material that can be used for publicity and event promotion. Due to space availability preference will be given to items that are Penn State or Agriculture related.

Item  

Item Description  

Limitations

Item Fair Market Value  

Photograph of Item You are Donating

I understand as the donor it is my responsibility to establish the fair market value, for charitable deduction purposes, of the donated item. I hereby state the fair market value to be the amount listed above.  

Donor Information

Please list donor name as it should appear in print. This is the individual or organization that will receive a tax receipt for the amount of the donation from University Development as applicable.

Donor Name  

Address

City

State

ZIP Code

Email  

Phone

Federal Tax Id Number If applicable

Solicitor Contact Information (Board Member Name)

Board Member Name

Email

Phone Number

Electronic Signature

By checking this box and typing my name below, I am electronically signing this application.  

Full Name

I have signed this application as an authorized representative on behalf of the applicant