Make-A-Wish Foundation® of Southern West Virginia 623 Lee Street, West Charleston, WV 25302 304 342-WISH 304 345-6568 fax swestva@wish.org www.wish.org/southernwv
Gift Information (receipt of donation for tax records):
Date of Contribution:
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Amount of Contribution: $_____________________ Or $_______________ Fair Market Value of donated item/services: Description of donated item/service: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Donor Name (or Company): ______________________________________________________________ Address: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Contact: _____________________ Telephone: _____________________