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Thank you for your interest in donating to Music Aid Northwest Play It Forward. Upon completing the form below, you will receive an email receipt. A member of our staff will reach out to you. We appreciate your support!

If you have multiple donations, please fill out the form for each donation unless it's all part of the same package fill out one form.

Procurement Item Donation

Item Information

Item Name:*

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Estimated Value $:*

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Item Description:*

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Notes:

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Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Donation will be delivered?

Yes

Please make arrangements to pick up the donation?

Yes

Is there a gift certificate?

Yes

Donor Agreement

By filling in my name, I agree this will be the electronic representation of my signature, and I verify I am responsible for this donation:*:

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

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Country / Location:*

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Mobile Phone:*

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Email:*

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