Making Stigma Disappear
NAMI CCNS Gala April 16, 2016
Auction Donation Form
* Download the PDF here and mail or bring in with your donated item *
Company/Donor (Please list name as you prefer for the donor listing) __________________________________________
Contact Name __________________________________________
Address City, State, Zip __________________________________________
Description of donated item Please specify, in the description, any restrictions such as blackout or expiration dates, if applicable.
Value: Solicited by
To guarantee your donor listing, please respond no later than March 16, 2016
Please send items or certificates directly to:
8324 Skokie Boulevard
Skokie, IL 60077
Or fax 847-716-2253
Thank you for your generosity!
NAMI CCNS is a non-profit 501(c)(3) organization (tax ID# 36-3714540).
Contributions are tax-deductible to the full extent allowed by law.
NAMI Cook County North Suburban is a 501(c)3 organization as determined by the Internal Revenue Service — Gifts are tax-deductible to the full extent allowed by law. Please consult your tax advisor and keep this written acknowledgment of your donation for your tax records.
Questions regarding this contribution, contact Sue Ockerlund, at 847-716-2252 or email@example.com