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2. Donor Name (to appear on event materials)*
4. Company Name*
6. Contact Person*
8. Phone*
9. Email*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Contribution Information
19. Monetary Donation

    1. I would like to provide a monetary donation in support of BOCO WILD.
20. Donation Amount
22. Prize Donation

    1. I would like to donate an event prize. (Examples of prize donations include, but are not limited to, fishing poles, outdoor themed gift baskets, gift cards, outdoor gear, etc.)
23. I will provide a prize donation of:
25. Prize Donation- Contribution pick-up:

    1. Please contact me to schedule a time to pick-up my item.
    2. I will deliver my item to the Parks & Recreation office in Fincastle.
    3. I will mail my item.
27. I accept the invitation to set up an information table/booth during event:

    1. YES
    2. NO
29. If you are mailing your contribution, please send to:

    Botetourt County Parks & Recreation

    Attention: Shontae' Wade

    P.O. Box 587 Fincastle, VA 24090

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field