Umom Inkind Donation Receipt
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1INKIND DONATION RECEIPT
DATE OF DONATION:____________________________ Are these items part of a donation drive?
Yes
No
NAME: ________________________________________ EMAIL: ___________________________________________
COMPANY: ____________________________________ PHONE: __________________________________________
ADDRESS: ____________________________________ CITY: ________________ STATE:_____ ZIPCODE: ________
DESCRIPTION OF DONATED ITEMS
VALUE
PROGRAM DISPOSITION
TOTAL DONOR’S VALUATION OF DONATION
RECEIVED BY (Print):_______________________________SIGNATURE: ____________________________________
Thank you for SUPPORTING UMOM New Day Centers. Together we are breaking the cycle of homelessness!
UMOM New Day Centers 3333 E. Van Buren Street Phoenix, Arizona 85008
Phone: 602-275-7852
Please retain this form for tax purposes. The “fair market” value of items donated is tax-deductible, as allowed by law.
White – Donor
Yellow – Development Office
INKIND DONATION RECEIPT
DATE OF DONATION:____________________________ Are these items part of a donation drive?
Yes
No
NAME: ________________________________________ EMAIL: ___________________________________________
COMPANY: ____________________________________ PHONE: __________________________________________
ADDRESS: ____________________________________ CITY: ________________ STATE:_____ ZIPCODE: ________
DESCRIPTION OF DONATED ITEMS
VALUE
PROGRAM DISPOSITION
TOTAL DONOR’S VALUATION OF DONATION
RECEIVED BY (Print):_______________________________SIGNATURE: ____________________________________
Thank you for SUPPORTING UMOM New Day Centers. Together we are breaking the cycle of homelessness!
UMOM New Day Centers 3333 E. Van Buren Street Phoenix, Arizona 85008
Phone: 602-275-7852
Please retain this form for tax purposes. The “fair market” value of items donated is tax-deductible, as allowed by law.
White – Donor
Yellow – Development Office
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