The Loma Portal Foundation is a non-profit, 501 (c)3 corporation; Tax ID# 33-0874835. 3341 Browning Street, San Diego, CA 92106 All donations to the Loma Portal Foundation are deductible as allowed by law. Moonlight Masquerade, May 12 th , 2017 Item Donation Form Thank you for your generous donation! Ideas for items to donate include gift cards, certificates, services, travel, tickets, merchandise, etc. – whatever works for you! Ways to get your item(s) to us : • Email it to us: [email protected] • Send it by mail: Loma Portal Foundation 3341 Browning Street San Diego, CA 92106 • Schedule a pick up: [email protected] Item Description: Estimated Value (fair market value) : Your contact information: Company: __________________________________________________________________ Address: __________________________________________________________________ __________________________________________________________________ Phone: __________________________________________________________________ Website: __________________________________________________________________ Please make a copy of this for your records – remember, it’s a tax-deductible donation!