Subject

Name

Email

Designer #

City

State

Zip Code

Order #

Jewelry Bar Code

Message

Event Date

Organization Name

Organization Phone#

Organization Address

Organization Contact

Organization 501C3 #

Please Briefly Describe Reason for Request:

Please Tell Us About the Organization's Mission:

Donations from Origami Owl may only be used for the intended purpose as stated on this form. Donations of any kind, including jewelry, are not for personal use or personal gain, and may not be resold, distributed, or gifted to anyone including Origami Owl Independent Designers. Donations may not be posted online or publicized using websites such as EBay, Craigslist or Amazon. Origami Owl reserves the right to use the details of this donation for internal and/or public relations purposes. *
I agree to these terms and conditions

* Once accepted, donated property cannot be transferred by the donee in exchange for money, other property, or services. IRC 170(e)(3)(A)(ii); Reg. 1.170A-4A(b)(3)

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