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Please deliver items to BBHS Main Office by October 10, 2022.

Procurement Form

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

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Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Mobile Phone:*

Email:*

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