In-Kind Donation Form
Please complete form, if you would like a receipt, please check yes below. Our IRS Tax Exemption # 42-1724770
Thank you so much for your support!
Company
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Date *
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DD
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YYYY
First Name *
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Last Name *
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Title
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Address *
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City *
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State *
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Zip *
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Phone *
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Email Address *
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Description of the Item *
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Total Value of the Item / Service *
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Event / Program *
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Do you need a receipt for your donation? *
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If this is a certificate, check yes and e-mail a copy to andrea@youthonrecord.org
If this is an Auction Item, check yes and e-mail a copy of your logo and/or image of the item to andrea@youthonrecord.org
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