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Donor Information
Name
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First Name
Last Name
Business Name / Organization Name
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This donation is made by an:
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Individual
Company/Organization
Website
Mailing Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
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Email
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Verify Email
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Would you like to subscribe to our email list?
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Select "Yes" if you would like to receive updates!
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Yes
No
Organization / Business Logo
Item Information
Item Name
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In-Kind Gift Type
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Goods
Services
Item Description
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Item Value
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For physical items, please select the appropriate box:
Item needs to be picked up
Donor will drop off item
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Item Restrictions/Additional Notes:
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Please let us know if there is any additional information related to this donation.
Y-WE is proud to recognize you and your business on our website, newsletters, and event materials. Please let us know your recognition preference:
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I do not wish to be to be recognized
Other
If you selected "other", please describe your acknowledgement preference.
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