UM DOCS Donations Registry
Fill this form out EVERY time you receive a donation for your fair, event, or clinic
Contact the Executive Directors with any further questions.
Name
Your answer
Email
Your answer
Phone Number
Your answer
Your DOCS affiliation (ie: Hialeah Health Fair Logistics, SJB Physician Liason, etc) *
Your answer
Donor Name
Your answer
Donor Address (N/A if not applicable)
Your answer
Donor Phone Number (N/A if not applicable)
Your answer
Donation Item/Amount
Your answer
Estimated Value of Donation
Your answer
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