Nonmonetary In Kind Donation Receipt Request Form

Non-Monetary / In-Kind Donation Receipt Request Form

Donor Name: ___________________________________________________________

Address: ______________________________________________________________

_________________________________________________________________

Items Donated: ___________________________________________________________

__________________________________________________________________

Estimated cash value of donated items: $__________________

Date of Donation: ____________________________________

Your donations make our programs possible. Thank you!

In order to obtain a tax receipt for your donation, please submit the completed form to CDC via

email or fax and a receipt will be mailed out to you.

Email: or Fax: 313-873-0063.

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Parent category: Business