In Kind Donations

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In-Kind Gifts

Additional instructions as needed.

* Category (Reason)	Estimated Value (Gift Value)	List Items (notes)
* Category (Reason)	Estimated Value (Gift Value)	List Items (notes)

This gift is Personal or on Behalf of Org

Contact Information (Donor)

* First Name:

* Last Name:

* Company / Division

* Job Title

Birthday:

Gender:

Phone and Address

* Email:

* Type of Phone Number:

* Phone Number:

* Country:

* Address:

Apt/Suite/Unit/Other:

* City:

* State/Province:

* Zip/Postal Code:

County

In the future, it is Ok to contact me by Email

In the future, it is Ok to contact me by Mail

In the future, it is Ok to contact me by Phone

It is Ok to contact me for future donations

How did you hear about us (source)?

Mailing Preferences

General Announcements

Terms & Conditions

Personalized ...

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