Gift In Kind Donation Form Donor Information Business
ADVERTISEMENT
1Mira Scholars Foundation
1559B Sloat Blvd., Ste. 496
San Francisco, CA 94132
+1-415-513-0373
Tax ID: 90-0522995
GIFT IN-KIND DONATION FORM
Yes! I support
Mira.
DONOR INFORMATION
BUSINESS OR PERSONAL NAME as you would like to be recognized:
_____________________________________________________________________________________
Address: _______________________________________
City/ST/Zip_______________________
Email: _________________________________________
Phone:___________________________
Main contact: ___________________________________
Title: ____________________________
Signature: ______________________________________
Date: ___________________________
Please sign me up to receive Mira’s e-newsletters and updates.
GIFT INFORMATION
Description of donated item(s): ___________________________________________________________
_____________________________________________________________________________________
Gift certificate(s) attached: YES / NO
Donor’s estimate of value: $_________
Restrictions or conditions that may apply: ___________________________________________________
_____________________________________________________________________________________
Other Instructions (Pick-up, delivery, etc.): __________________________________________________
_____________________________________________________________________________________
Many thanks for your generosity in supporting Mira Scholars Foundation - a nonprofit organization under section
501(c)(3) of the Internal Revenue code. Guidelines established by the IRS do not permit us to provide you with an
estimated value of your contribution. Please note, however, that you will receive a tax receipt upon completion of all of
the information above. ADDITIONALLY, PLEASE RETAIN A COPY OF THIS COMPLETED FORM FOR YOUR RECORDS.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business