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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