ASIS International Rochester NY Chapter #22 - 2019 Gold Tournament Raffle/Prize Donor Form

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Name

Company

Address

City

State

Zip

Phone

Item Description

Item Value

Is This Item a Certificate?

Yes
No

Can you share with us any further details or instructions about your donation?

Please contact Lori Schreib for further details in regards to donations:

Phone: 585-269-8392
Email: [email protected]

Donations can also be mailed to Lori at:

Wegmans Food Markets
400 Wegmans Market Street
Rochester, NY 14624