Auction/Prize Donation Agreement

To Benefit Charity Works, Inc.

Business or Individual Name: agrees to donate the following item(s):

1. Qty: Description:    Value: $

2. Qty: Description:    Value: $

3. Qty: Description:    Value: $

4. Qty: Description:    Value: $

The above donated item(s) are offered for use as either auction or prizes for the 17th Annual CharityWorks® Cup Challenge which will be held on Thursday, November 21, 2019, at the Belleair Country Club to beneft Charity Works, Inc., an IRS §501(c)(3) nonproft organization ( ). Net proceeds will be used to support the organization’s wellness-medical aid program called GIVE HOPE USA®.

The above referenced company or individual(s) will be acknowledged and recognized for their donation in all appropriate media including, but not limited to, local publications, newspaper(s), and the Cup Challenge event program. Charity Works reserves the right to assemble donated prizes in one or more packages to increase the likelihood of raising the most funds from the event.

Business or Individual Name:

Name:     Phone:     Fax:

Title:     Email:

Address:    City:    State:    Zip:

Donations should be received by Friday, November 15, 2019 to ensure proper processing for the event. To arrange for pickups and/or make deliveries, please call the office or email Chris R. Renfrow at .

Contributions made to Charity Works, Inc. are tax deductible to the fullest extent of the law.

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Charity Works, Inc. 1346 S. Fort Harrison Ave., Suite 101 ▪ Clearwater, Florida 33756-3343
Phone: (727) 447-2064 • Fax: (727) 447-1892 •