Receipt for Raffle Prize Donation JCD 2001
bring this slip with your donation

Prize offered _______________________________________________________________________________

Date ____________________________________

Signature of collector _________________________________________________________________________

cut here>-------------------------------------------------------------------------------------------------------------------------------------- <cut here

Company / Individual name ____________________________________________________________________

Address ___________________________________________________________________________________

Point of Contact _____________________________________________________________________________

Phone number and/or email ___________________________________________________________________

Prize offered ________________________________________________________________________________

Date ____________________________________

Signature of donor ___________________________________________________________________________