In Kind Donation Form - Housing Families printable pdf download

In Kind Donation Form - Housing Families

Housing Families Inc.

p 781 322 9119

354 Cross Street

f 781 322 9292

Malden, MA 02148

In-Kind Donation Form

Note: An estimated value for the donation must be included but can only be assigned by the

donor. HFI staff cannot write in the value of the donation.

To Be Completed By Donor

Individual donor or Organization name: ________________________________________________

Name of person to be thanked: _________________________________________________________

Address: ____________________________________________________________________________

City: ______________________________ State: ____________________ Zip: ___________________

Phone: ______________________________________________________________________________

E-mail Address: ______________________________________________________________________

How did you hear about Housing Families?

HFI Website/Internet

Newspaper

Friend/Family

Other ________________________

Donor’s Estimated Value: _____________________________________________________________

To Be Completed By Staff Accepting Donation

Name of Staff Accepting Donation: _____________________________________________________

Date donation was received: ___________________________________________________________

Description of Items Donated (Include quantities – e.g. 3 pizzas for family meeting or 2

backpacks with school supplies):

_____________________________________________________________________________________

Note: If the gift’s estimated value is $7,000 or more, the description has to be comprehensive for

auditing purposes – use the back of the form if necessary.

In Kind Donation Form - Housing Families