*Donee Name(a non-profit organization):
Donee Address(to be completed by RingAid):
Donee EIN(to be completed by RingAid):
*Please provide a brief description of the jewelry you wish to donate (the “Jewelry”):
Purchaser Name: Pacific Gemological Laboratory, Inc
Purchaser Address: 534 Southwest 3rd Avenue, Suite 206, Portland OR 97204
Donor hereby authorizes RingAid, on behalf of Donor, to sell the Jewelry to Purchaser at a price equal to the Jewelry’s appraised value, as agreed between RingAid and Purchaser, and authorizes RingAid, on behalf of Donor, to donate all such sale proceeds to Donee.
Unless other delivery arrangements are agreed please mail this Donation Form and the accompanying Jewelry to the Purchaser’s address above. RingAid will contact you upon receipt.
www.ringaid.org | PO Box 2084, Tualatin, OR 97062 | (971) 808-3799 | firstname.lastname@example.org