In-Kind Donation Receipt Form

Name of Person Filling Out Donation Receipt Form *

First

Last

Email of Person Filling out Donation Receipt Form *

Date Received *

This is the date the in-kind donation was received.

Event Donation Supports

Enter the name of the event that this in-kind donation supports.

Donation to be used for:

If answered "other", please specify.

Fair Market Value ($) *

As assigned by donor and documented on in-kind receipt form.

Are there any restrictions or special instructions from the donor? *

Upload copies of restrictions or special instructions at the bottom of the form.

Donor Name *

Name of individual or business that has made donation.

Business Contact and Job Title (if applicable)

Donor Phone

Not required if in kind donation form is attached.

Donor Email

Not required if in kind donation form is attached.

Donor Address

Address Line 1

Address Line 2

City

State

Zip Code

Not required if in kind donation form is attached.

Donor wishes: *

Upload Image of In-Kind Donation Form

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Upload Image(s) of Special Instructions (copies of emails, notes, etc.)

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.