GIA ALUMNI ENDOWMENT FUND
AUCTION DONOR FORM

Please fill in the information below, sign
and return this form with your donation. 
Thank you for your support of the GIA Alumni Association.

Donor Information

Name: 

Address: 

Telephone/Fax/Email: 

Do you wish to be acknowledged at the event and in our publications?   Yes  -  No or anonymous.______     If yes, Donor listing should read:  

Item or Gift Information

Donation                                                           Fair market value $                                  

Complete description of item(s) being donated: 

Restriction/Comments: (e.g., expiration dates, minimum age, etc.) 

This donation becomes the property of the Gemological Institute of America Alumni Association and is to be offered for sale at auction, the proceeds of which to go to the GIA Alumni Fund.  This donation will not be directly used in furthering the exempt purpose of GIA.  Please consult your tax advisor for proper tax reporting of your charitable deduction.

Donor signature                                                                        Date

--------------------------GIA Use Only--------------------------------

Date received:                                 By:                          Donor acknowledged:                  

Rose McKenna, G.G., Alumni Relations Manager
Gemological Institute of America
The Robert Mouawad Campus
5345 Armada Drive, M/S 9
Carlsbad, CA 92008

Phone 800.421.7250, Ext. 4135  * 760.603.4139 * Fax 760-603-4199  
E-mail Rmckenna@gia.edu