In-Kind Gift Receipt Form Donor InformationOrganization or Name Contact Name First Last Title Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail The name of who should be recognized or "Anonymous" Donation Category Goods Certificate Service Discount Value of Gift as provided by Donor $Number of ItemsUpload Copy of Donation Letter or ReceiptMax. file size: 2 MB.Description of item(s)/service(s) rendered (include size, color, model, etc.)Donation for (Please Indicate Your Area or County Name) Donor Name First Last Date MM slash DD slash YYYY