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In-Kind Donation Form
Donor Contact Information
Name
*
First Name
Last Name
I am donating:
*
As an individual
On behalf of an organization or business
Organization/Business
The name of the donating organization or business.
Spouse/Partner
The first and last names of your spouse or partner.
Email
*
Verify Email
*
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Make my gift anonymous
Yes, I would like to be listed as an anonymous donor in your annual report
Donation Information
Donation Type
*
Choose a donation type based on the items you're donating. If you're donating both types, please submit two in-kind donation forms.
select one
Food
Non-Food Items
Donation Date
*
(mm/dd/yyyy)
Description
*
Please describe the items donated.
Weight (food donations only)
*
Please input the total weight of donated food in pounds (lbs.)
Value estimated by Donor
*
Please enter the estimated value of the donated items in dollars. Food donations are currently valued at $2.16/lb.
Donation Category
*
What kind of food are you donating?
Assorted Foods
Bakery
Dairy
Meat/Protein
Produce