10^th Annual
August 2nd and 3rd 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:
Bryan Bates
P.O. Box 722
Pacific City, Or. 97135
Phone (503) 965-7873
Email: bryan@sevensurfboards.com

List of donated materials and approximate retail value:

___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ______________________________________________________________________________

Signature of Company Representative:__________________________________

Company Representative email:________________________________________

Phone Number:_________________________________________________________

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