Donation Receipt Request
If you would like confirmation of receipt or a donation receipt, complete this form. Once we receive your shipment and process the donations, we will email you a donation receipt. This form must be completed at time of donation. Name on donation box (or a note in the box) must match information submitted through donation receipt request form.
First Name *
Your answer
Last Name *
Your answer
Organization/Company Name
Your answer
Address Line 1
Your answer
Address Line 2
Your answer
City
Your answer
State
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Number of boxes *
Your answer
Description of Donated Items including Quantities of Each *
Your answer
For cash donations only Value of Donation
$ (USD)
Your answer
Method of Shipment *
(e.g. USPS, UPS, FEDEX)
Your answer
Estimated Date of Delivery to OCIB *
MM
/
DD
/
YYYY
Note to OCIB
Your answer
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