In Kind Donation Receipt
Donor Information:
Contact Company (if applicable) Address Address (2) City, State, Zipcode Email Address Telephone Number Fax Number
Items Donated:
Date
Qty
Description (material and/or labor)
Value ($)
Item needs pickup: Yes
No
If this item is for a future event (raffle, silent auction), please provide we will by happy to display information about your gift or company. Please include any information, menus, etc. with this donor receipt. In-Kind Donations may be tax-deductible. My Possibilities is a 501 (c ) (3) tax-exempt charitable organization. Please FAX or mail this receipt to My Possibilities. It will be signed by a representative of the organization (to be valid) and returned to you. Please retain the signed receipt for tax purposes. Thank you for your support of this program. My Possibilities Representative: ___________________________ Date: _________________ Phone Number: ________________________ Email Address:________________________
9/1/08