Donor Contact ___________________________________________________________
Business Name __________________________________________________________
Address ________________________________________________________________
City, State & Zip _________________________________________________________
Phone _____________________________ Email _______________________________
Description of Donation ___________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Fair Market Value of Donation $___________
Limitations/Restrictions/Special Instructions/Expiration __________________________
_______________________________________________________________________
Please check all that apply:
o I have enclosed or will deliver the donation to UC Jazz Ensembles
72 Cesar Chavez Center # 4280 * Berkeley, CA 94720-4280 or FAX (510) 643-9463
o I would like UC Jazz to create a gift certificate describing my donation.
o I have enclosed a business card or brochure to give to the winning bidder.
o I would like my donation picked up. Best time to call: ______________________P
The University of California is a non-profit organization; your donation is tax deductible.
(Tax ID #94-6002123) Please make a copy of this form for your records.
Please respond by April 5.
Questions? Contact Carol Suveda at (510) 643-2662.
UC JAZZ APPRECIATES YOUR GENEROSITY – THANK YOU!!!!