In Kind Donation Form - Humanists Of Houston
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1
2Humanists of Houston
5334 Kiam St. Unit C, Houston, TX 77007
901-609-4464
IRS 501(c) 3 Tax Exempt Number 52-1210138
IN-KIND DONATION FORM
Event: _____________________________ Date of Event: ______________________________
City: ______________________________ County: ___________________________________
Description of Item (include quantities): _____________________________________________
______________________________________________________________________________
______________________________________________________________________________
Estimated Fair Market Value: Donation: $________________ Auction: $_________________
Fair market value of any goods or services given to donor in return: $ _____________________
Individual donor or company name: ________________________________________________
Name of person to be thanked: ____________________________________________________
Organization ___________________________________________________________________
Address: ______________________________________________________________________
City: _____________________________ State: ___________________ Zip: ______________
Phone: __________________________________ Fax: _________________________________
Date Received: _________________________________________________________________
APPROVAL: ______________________________ DATE: _______________________________
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