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In-Kind Form

Donor Information



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Goods/Services Information

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Please include quantity/amount if applicable.

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Please include quantity/hours if applicable.


If you're donating multiple goods/services, please list an estimated value for each item/service.

The H.E.A.R.T. Program is a program of the 501(c)(3) nonprofit organization, Educational Programs Inspiring Communities, Inc.  Our tax ID is 73-1644107.

Your donation is tax-deductible to the extent allowed by law.  This donation has not been independently appraised; we rely on the donor to assign the appropriate value for the donation.

If you have any questions, please contact ychang@heartprogram.org or 713-714-1686.