SPORTSMEN'S CLUB OF FORT WORTH          SCFW Info only

                                                                                           P. O. BOX 470393                                                           LA # ___________     

    FORT WORTH, TX  76147       SA#  ___________

                                       817-335-4261/Office                   817-335-4801/Fax

 

                                                                     DONOR FORM

 

                                                                                                                                                                Date:________________________

 

Company Name:____________________________________ Donor Name:________________________________________
 

Authorized Signature:_______________________________  Address:________________________________________

 

City:_____________________________________________State:_____________________Zip:__________________________

 

Phone Number:(________)______________________________  Fax Number:(________)__________________________________

 

Sportsmen's Club of Fort Worth Representative who contacted you about your auction donation:

 

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Description of Donation:_____________________________________________________________________________________

 

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Approximate retail value:_____________________________________________________________________________________

If trip, hunt, condo, etc., please supply the following information.  Location and/or address and/or directions and/or other:

 

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Dates involved:___________________________________________________________________________________________

 

Special provisions (if any)

_______ Meals included                    _______ Guides Included                _______Non-hunting Guests OK

_______ Lodging Included                ________  Youth OK                       _______Other______________________________________      

                                               
Additional Information:
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