** PLEASE COMPLETE A SEPARATE AUCTION FORM FOR EACH DONATION **

DELIVERY DEADLINE FOR BOTH MIAMI & FORT LAUDERDALE - Friday, June 29, 2019 at 5 PM

ALL CONTRIBUTIONS ARE TAX-DEDUCTIBLE; MINIMUM RETAIL VALUE: $200

FLIPANY IS A 501 (c)(3) NON-PROFIT ORGANIZATION

(as you would like to be listed in promotional materials)
Contact Name *
Contact Name
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Address
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Phone
DONATION DESCRIPTION & RESTRICTIONS
Please deliver all items in addition to 5-10 business cards for display, pieces of collateral for gift bags, (240 pieces for Miami and/or 125 pieces for Fort Lauderdale) along with this completed form and your donated items either: in person or by mail to: FLIPANY | 1777 N Dixie Highway | Fort Lauderdale, FL 33305 To arrange pick up, call Angie Rodriguez at ARodriguez@FLIPANY.org