Roosevelt Donations — Democratic Party of Lane County

2024 DeFazio Dinner

Thank you so much for donating to the Democratic Party of Lane County's Peter DeFazio Dinner & Auction! Please complete this form so that we can recognize your generosity at the April 27 event.

Donor/Company Name

(As you would like it to appear in the event program)

Contact Person

(Not listed in the event program)

First Name

Last Name

Phone

(###)

###

####

Item Name

Item Description, if necessary

Fair Market/Estimated Value

Item Delivery/Pickup

I will deliver the item to the DPLC (115 W 8th Ave. Suite 120, 12-6 p.m., M-F)

I will mail or email the gift card/certificate to PO Box 11138, Eugene, 97440, or defaziodinner@dplc.org

I need a DPLC volunteer to pick up the item

Please create a certificate based on the description above

2024 DeFazio Dinner

DPLC

Action

Info