Thank

 you  for  your  generous  auction  item  donation  to  the  Matteo  Memorial  Golf  Outing.    Please  fill  out  the  
following  information  to  assist  our  organization  in  determining  the  correct  description  and  value  of  the  item(s)  
as  well  as  the  contact  information  for  the  donation.  
 
Please  return  the  completed  form  to  the  individual  requesting  the  donation,  mail  it  along  with  your  donation  
or  fax  it  to  the  NOHF  office  at  (216)  834-­‐0055.  
 
Thank  you  for  your  support!  
Description  of  donated  item(s):  
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Value  of  donation:  $  _______________________  
 
Contact  Information:  
 
Company:  _________________________________________________________________________________  
Name:  ____________________________________________________________________________________  
Address:  __________________________________________________________________________________  
City/State/Zip:  ____________________________  __________  _______________________________________  
Phone  number:  ________________________  Email  address:  ________________________________________  
 
Please  indicate  how  item  will  be  obtained:  
 
Item  will  be  mailed  to  Northern  Ohio  Hemophilia  Foundation  Mailing  Address:  
 
The  Northern  Ohio  Hemophilia  Foundation  
Attn:  Tanya  Ricchi  
4807  Rockside  Road,  Suite  380  
Independence,  OH  44131  
 
Item  will  be  given  to  the  individual  requesting  the  donation  
Please  call  or  email  the  contact  above  to  arrange  for  item  drop-­‐off  or  pickup