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In-Kind (non-cash) Donation Form
For internal use only - to track in-kind donations (NON-CASH ONLY).
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" indicates required fields
Date Received
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Donated By (Name)
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Address
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Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
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Email Address
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Item(s) donated
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Art, Statues, etc.
Bldg, Elec, Carpentry Supplies
Cage(s)
Bowls, Dishes
Cleaning Materials
Crates, Carriers
Educational Material
Food, Supplements
Foraging, Enrichment
Garden Supplies
Husbandry/Housekeeping Supplies
IT, Electronics, Media Supplies
Office Supplies
Play Stands, Perches, Swings
Tools
Toys, Toy Supplies
Travel/Entertainment
Uniforms, Scrubs, Clothing
Vet/Medical Supplies, Equipment
Other
Please check all that apply and put the specifications in the next box.
Please note all specifications for the items. Include condition the items are in, the number of items, the sizes, etc.
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Is there a receipt?
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Yes
No
If a receipt is present but not attached to this form (below), please scan and send to Jessica Boone.
Fair market value OR amount listed on receipt
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Upload scanned receipt(s) here
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 16 MB, Max. files: 5.
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