12th Annual
August 7th and 8th Pacific City Oregon

Donation Agreement Form
For valuable consideration, COMPANY(___________________________________), agrees to contribute cash or merchandise equal to the amount of $_________________, for the Cape Kiwanda Longboard Contest.

Please return this form to:
Cape Kiwanda Longboard Contest
capekiwandalongboard@yahoo.com

List of donated materials and approximate retail value:

___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ______________________________________________________________________________

Signature of Company Representative:__________________________________

Company Representative email:________________________________________

Phone Number:_________________________________________________________

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