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Spring Gala Basket Donation
Address Line 1
Address Line 2
Please upload your organization's logo here for Gala recognition. A transparent (.png) image is preferred (no more than 10 megabytes).
Description of Basket
Value of Basket
How would you like to get your basket to us?
We will drop it off at Smile Oregon's office (we will contact you to set that up).
We will bring the basket to Smile Oregon's booth (#1118) at the Oregon Dental Conference on April 2nd or 3rd.
Please contact me to schedule a time to pick the basket up at my office.
Special instructions or questions: