DONOR INFORMATION

First Name *

Last Name *

Organization

Street Address *

Ste./Unit

City *

State *

Zip Code *

Email Address *

Cell Phone *

IN-KIND DONATION

In Kind refers to donations of goods instead of cash. Please note, according to IRS regulations, establishing a dollar value on donated items is the exclusive responsibility of the donor.

PLEASE NOTE: Our organization cannot attach a proper dollar value to your gift. For your record-keeping purposes, you may wish to attach a proper dollar value to your gift. Federal tax laws impose certain reporting obligations for charitable contributions of property other than cash. IRS Form 8283 and its instructions can assist you with your reporting obligations. Keep the email confirmation you will receive as a receipt for your records.

Please provide details about the item(s) or service(s) donated:

	Description of Item(s) or Service(s)	Estimated Fair Market Value ($)	Restrictions or Limitations
1)	Description of Item(s) or Service(s)	Estimated Fair Market Value ($)	Restrictions or Limitations
2)	Description of Item(s) or Service(s)	Estimated Fair Market Value ($)	Restrictions or Limitations
3)	Description of Item(s) or Service(s)	Estimated Fair Market Value ($)	Restrictions or Limitations
4)	Description of Item(s) or Service(s)	Estimated Fair Market Value ($)	Restrictions or Limitations
5)	Description of Item(s) or Service(s)	Estimated Fair Market Value ($)	Restrictions or Limitations

Please indicate the best way we can receive your donation: *

Email

Mail

Deliver in Person

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