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Donor Tracking Form
Donor Tracking Form - Please complete this form if you have donated an item to the UF Habitat for Humanity Auction. Thank you!
Donor/Contact First Name
*
Donor/Contact Last Name
*
Business Name:
Street
*
City
*
State
*
Please Select ...
ALABAMA
ALASKA
ARIZONA
ARKANSAS
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
Zip Code
*
Donor/Contact Phone Number
*
Donor/Contact Email Address
*
Detailed Description of the Donation
*
Value of the Donation
*
Donor/Contact Signature
*
Date Signed
Day
*
Month
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
DD
1
2
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Year
Donations may be tax deductible as provided by law.
