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DonationRequestForm(PleasePrintClearly) 

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Today’sdate:_________________________________

Hostingorganization:________________________________________________________________________

Contactperson:________________________________________________________________________

Phone: ______________________________________Fax:________________________________________

EmailAddress:________________________________________________________________________

MailingAddress:________________________________________________________________________

City:_______________________________________State:______________Zip:_________________

_________________________________________________________________________________________

Itemstobeusedfor:(silentauction,raffleprizes,etc.):_______________________________________________

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Pleasereturnthecompletedformwithyourwrittenrequestonyourorganization’sletterheadto:

ByMail: EmailRequests:Janel.Twehous@como.gov

ColumbiaParksandRecreation

Attn:JanelTwehous DropoffattheActivity&RecreationCenter(ARC):1701W.AshSt.

POBox6015

Columbia,MO65025

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