In Kind Donation Form - Lymphoma Research Foundation

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In-Kind Donation Form
Love to Find a Cure Restaurant Revue • March 3, 2016 • The Depot • Minneapolis, MN
Deadline for donations is February 2, 2016
Thank you for making an in-kind donation to Lymphoma Research Foundation (LRF). This form will help us to properly record and
acknowledge your generous gift. LRF is a 501(c)(3) tax-exempt non-profit organization. Contributions to the Foundation are 100%
tax deductible to the extent by law. Tax ID: 95-4335088.
Donor Information:
Name of Donor/Company_______________________________________________________________
(Please list name exactly as you wish it to appear on Lymphoma Research Foundation printed materials)
Contact
_______________________________________________________________
(if other than donor)
Address ____________________________________________________________________________
City ___________________________________________________ State _________ Zip __________
Email Address _______________________________________________________________________
Telephone_______________________________________ Fax ________________________________
Donated Item(s) or Service(s):
Description of item(s) or service(s)
(Please include quantity, description of services, color, size, material, time
: _________________________
restrictions, legal limitations, location of seats, exchangeable, etc. where applicable.)
____________________________________________________________________________________
____________________________________________________________________________________
Estimated Fair Market Value
(According to IRS guidelines, it is the donor’s responsibility to determine FMV of items or
: $ ____________________________
services donated. Your estimate will help us recognize your gift appropriately.)
Delivery Arrangements
: ____________
(Please list how we will receive your donation/certificate: mail, pick up, etc.)
____________________________________________________________________________________
Mail Form and Donations To:
Colleen Timmons
LRF Volunteer
3272 Camelot Drive
Woodbury, MN 55125
Questions may be directed to Colleen at (651) 308-5209 or at
You may also contact Taylor Zitay Kahn, LRF at (646)465-9103 or
Visit us online at
Auction Item Wish List: Gift Certificates, Travel Packages, Electronics, Autographed Sports Items, Home & Garden, Culinary
Items, Services (personal training, accounting, legal, cleaning, spa, lawn, etc), Tickets to Special Events/Sporting Events,
Jewelry/Fashion Items, Merchandise/Product Baskets, Healthy & Beauty Items, Art, Items or Experiences for Kids

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