In-Kind Donation Receipt

Date

Company

First Name

Last Name

Contact Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Purpose of Donation

Event or Program Name (Optional)

HopeLink Staff Responsible for Donation (Optional)

Brief Description Of Item(s) Contributed

Estimated Value Of Donation (Determined by Donor)

Who is Submitting This Form?

Electronic Signature Acknowledgment

By typing my full legal name below, I acknowledge that this typed name serves as my electronic signature. I understand that my electronic signature has the same effect as a handwritten signature.

First Name

Middle Name

Last Name

Date Signed

*All donations are tax-deductible within the IRS guidelines. Save this receipt for your records.

In-Kind Donation Receipt

In-Kind Donation Receipt

Electronic Signature Acknowledgment

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