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AZ Tax Credit Donation via Check

This is a sample form to allow donor to Donate by Check. We collect all the contact information up front. Then when the physical check arrives, you just have to match it with the orginal gift and send out the QTAX Receipt.

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Remember to check your email for your tax credit receipt.

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Tax Credit Donation

Check Number

We use this number to help track your donation.

Note: