In-Kind Donation Form

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Staff Member Name(Required)

First Last

Your Email(Required)

Donor Email

Date Gift Received(Required)

Is the gift from an organization or an individual(Required)

Organization

Individual

Name of Donor(Required)

First Last

Donor Email(Required)

Donor Cell Phone Number

Donor Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Value of In-kind Gift (determined by donor)(Required)

Item(s) Donated(Required)