Holiday Project In-Kind Donation Form - DePelchin Children's Center

Gift In-Kind Form

Thank you for your generous in-kind donation. Please submit the following information to receive a gift acknowledgement/receipt.

Name(Required)

Prefix First Name Middle Last Name Suffix

Address(Required)

Home Address City State / Province / Region ZIP / Postal Code

Email(Required)

Home Phone (Optional)

Mobile Phone (Optional)

Date your donation was delivered to DePelchin Children's Center (MM/DD/YYYY):(Required)

Is this donation from:(Required)

Please provide company or group name, if applicable

Please provide detailed description of the gift(s) donated

What is the estimated fair market value of this gift(s)? If unknown, please enter "1". Please only include dollar amounts without the dollar sign ($)

Name

This field is for validation purposes and should be left unchanged.