Greater Greensboro Republicans Women's Club
P. O. Box 4494 - Greensboro, NC 27404
FROM:
Name: ______________________________________
Address: ______________________________________
City, State, Zip: ______________________________________
Employer and Occupation: ______________________________________
Donation Date:______________________________________
Description of item or service, including restrictions (Attach receipts if possible or fair market value of item)
Value $ _____________________
Posted by: ______________________________ (club use only)