Central Oklahoma Corvette Club

DONATION FORM

CENTRAL OKLAHOMA CORVETTE CLUB

P.O. Box 721290

Oklahoma City, OK 73172-1290

www.CentralOkCorvetteClub.org

Established August 2001 as Not-for-profit Corporation

Event Coordinators Event Information

Kenny & Jamie Chuculate Oklahoma Corvette RoundUp

Phone 405-755-2331 or 413-6289 June 3-4, 2016

Hafer Park

S. Bryant at E. 9th Street

Edmond, OKlahoma

DONATION FORM

Please print legibly

Donor/Company Name: _____________________________________________________________

Company Representative’s Name: _____________________________________________________

Address _______________________________________________ Phone ____________________

City ___________________________________________ State _________ Zip ________________

Donated Item Description ____________________________________________________________

_________________________________________________________________________________

Donated Item Retail Value $________________________Number of Items Donated______________

COCC Volunteer _____________________________________________ Date _____________

If items are not immediately available, please ship to Donor Coordinator (top right of this form)

Donors will be given recognition at the show and on donor listing sheets

Donor Levels: Platinum $1500 + Gold $1000 - $1499 Silver $500 - $999 Bronze $1 - $499