Determined to Develop
Request for In-Kind Donation Acknowledgement
Name of Donor
*
First Name
Last Name
E-mail address of Donor
*
example@example.com
In Kind Donation Request
Describe IN SOME DETAIL the nature of your in-kind donation (e.g. - fundraiser supplies, professional services, equipment, etc.)
*
Description of In-Kind donation, for example "wine, rental hall fees, dining supplies"
Date of Donation(s)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date of Donation (you can specify multiple dates in your description)
1. I affirm the described items were donated to Determined to Develop
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Yes
No
1. Initial
2. I understand that the value of the items or services declared for tax exempt purposes is mine to declare and that D2D cannot declare the value for me.
*
Yes, I do.
No I do not.
2. Initial
We are required by the IRS to secure copies of your receipts in order to process your request
*
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of
E-Signature:
*
Type your name to attest to the truth and accuracy of this form at the time of submission. By pressing submit below your form will be time and date stamped accordingly. Upon receipt, D2D will forward the acknowledgment via email. THANK YOU FOR YOUR SUPPORT!
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