Please complete the form below and bring it along  with the item(s) to CCB offices:
9596 Hamilton Ave.
Huntington Beach, CA  92646

All  in-kind donations are tax deductible to the extent of the law.   Receipt will be issued for tax purposes
Printable PDF format
* required fields
Date:
Name: *
Please print name as you would like it to appear in programs
Address: *
City:
 State:
 Zip  Code:
Telephone: *
E-Mail:*
Items Donated
Item Description
Value
   
   
   
   
   
   
   
   
Total Value of Items Donated
  
Total Contribution: $________________________        Check # ___________     Date: ______________

Thank you for your generosity!
"Experience the Magic of Dance"
Support
9596 Hamilton Ave - Huntington Beach, CA  92646
714-963-9771
admin@coastcityballet.com - admin@pacificdancecenter.net