IN-KIND DONATION FORM
TAX-DEDUCTIBLE DONATION REQUEST FORM
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Email *
First Name *
Last Name *
Email Address: *
Daytime Phone *
Secondary Phone
Are you age 18 or above? *
Date of Birth *
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Is this a request to donate clothing or hygiene items (including shoes)? *
Is this a request to donate items for infants or toddlers (e.g., diapers, wipes, bibs, blankets, etc.) *
Is this a request to donate school or educational supplies to help youth reach their learning potential? *
Is this a request to donate therapeutic items (e.g., items for play-based therapies, coping skills items, etc.) *
Is this a request to donate office supplies or building equipment (e.g., furniture, stationary, paint, art, electronics, subscriptions, etc.)? *
Is this a request to donate office or clinic space? *
Is this a request to donate intellectual property (e.g., expertise, programming, etc.) to enhance service delivery to consumers? *
Is this a request to donate transportation or fleet/ vehicle items? *
If not listed above, please describe what in-kind donation you would like to make to Youth Enterprise, Inc.
Do you require a tax-deductible receipt for your in-kind donation? *
Approximately when would you like to make your donation? *
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