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In-Kind Donation Form
Contact Information
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First Name
Last Name

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*

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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code

Please attach your company's logo here
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(mm/dd/yyyy)
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Donation Description
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Please list materials/products/services to be donated.
Donation Value*
*

*All donation values must be assigned by the donor.

CIELO does not assign the estimated fair market value as this is the responsibility of the donor for IRS purposes. We do include this value in our financial reporting on Form 990.