StolenYouth · In Kind Donation

Date of Donation

(mm/dd/yyyy)

Type of In Kind Donation:

*

Goods

Services

Auction Item

Description of Donated Goods/Services (include quantity, size)

*

Estimated Value of Goods/Services

If this is an auction item,please include any restrictions, number of persons, weeks, days/nights or experation date

Is there an expiration date on the donation?

If so, please record here.

Your Contact Information

Name

*

First Name

Last Name

Include a spouse/partner as a joint donor for this donation?

If yes, your spouse will be included on tax receipts and acknowledgments for this gift.

Yes

No

Spouse Name

First Name

Last Name

Email

*

Verify Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Home Phone

Is this gift anonymous?

*

Yes

No

If we have your permission to publicly acknowledge this contribution, how you would like your name(s) printed?

StolenYouth is a 501 (c) (3) Non-Profit Organization | Tax ID 45-4985230

Phone 206.508.3887 | PO Box 296 Seattle, WA 98111 www.StolenYouth.org | Hope@StolenYouth.org