PET PULL INTAKE FORM

Please complete the form below for EACH item.

List exceptions here, such as expiration dates, blackout dates, tax and gratuity not included, etc.
Committee member's name
Market value of the item
Are there more than one? If one, put 1.
Contact at business
How the donor wants to show up next to the item. Business name? Personal name?
Where is the item right now?