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In-Kind Donation Form

Please fill out the form below for tax purposes. This information is vital for our records and will ensure that you receive a tax receipt in a timely manner.

Donor Name (Organization, Company, or Individual)(required)

Donor Contact (Name of individual for contact)(required)

Phone Number for Contact(required)

Email address(required)

Address of Donor(required)

City, State, Zip(required)

Should the thank you be addressed to the person on this form? (required)

Yes

If no, what name and address should be used?

Value of Donation(required)

Items Donated(required)

Date of Donation (mm/dd/yyyy)(required)

Signature of Donor(required)

Please type your full name

Type the characters(required)

This field should be left blank

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