Women's Pride in the Pines 2022

Saturday, June 11, 2022

Whyte Hall, Fire Island Pines

 

PLEASE COMPLETE A SEPARATE FORM FOR EACH DONATION

 

DONOR/COMPANY NAME: ______________________________________________________________

CONTACT NAME: _____________________________________________________________________

ADDRESS: ___________________________________________________________________________

 

TELEPHONE/FAX: _____________________________________________________________________

E-MAIL: _____________________________________________________________________________

ITEM DESCRIPTION: __________________________________________________________________

 

QUANTITY: ____________________VALUE: _____________________________________________

RESTRICTIONS (IF ANY):
________________________________________________________________________________________________________________________________

 

DESCRIPTION OF YOUR ITEM – PLEASE CHECK THE APPROPRIATE BOX:                                                                                                                         

⃝   HEALTH/BEAUTY                          ⃝   RESTAURANTS/FOOD/WINE

⃝   HOTEL/TRAVEL                             ⃝   PROFESSIONALS/SERVICES

⃝   JEWELRY                                        ⃝   THEATER TICKETS/EVENTS

⃝   PRODUCTS                                    ⃝   OTHER _______________________________________________________________________________

Please e-mail lgottlieb@lgbtqfocus.com or send this form along with any gift certificates or packages

by May 1, 2022 to:

 

Linda Gottlieb
c/o THE LGBTQ Focus Foundation Corporation

251 East 51st St., Apt. 9F

New York, NY  10022 

 

This original form is your receipt.  All contributions are tax deductible to the full extent of the law.