Charitable Solicitation Questionnaire - South Carolina Secretary Of State Page 2

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9. If the company was given, what was its name?
___________________________________________________________________________
10. Did you ask where the charity was located? Circle one: YES NO
11. If YES, where did the solicitor indicate the charity was located?
___________________________________________________________________________
12. Did the solicitor tell you the purpose of the organization and what your contribution would
be used for? Circle one: YES NO
If YES, please describe below:
___________________________________________________________________________
___________________________________________________________________________
13. Did you ask the solicitor to send you information about the organization before agreeing to
donate? Circle one: YES NO
If YES, what information was sent and was this the information requested?
14. Do you believe that the solicitor misrepresented or mislead you by any manner, means,
practice or device? Circle one: YES NO
If YES, please explain: _______________________________________________________
___________________________________________________________________________
15. Did you make a pledge to the charity? Circle one: YES NO
If YES, how much? $$ ________
16. Did you contribute? Circle one: YES NO
17. Please attach any additional comments you may have regarding this solicitation.
IF YOU HAVE COPIES OF RECEIPTS, LETTERS, ETC. IN CONNECTION WITH THIS
SOLICITATION, PLEASE INCLUDE THEM WITH THIS QUESTIONNAIRE. THANK YOU.
YOUR SIGNATURE: ______________________________________ DATE: _____________

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