Gift-In-Kind Contribution Form

Thank you very much for making an in-kind donation to The Mountaineers. This form will help us properly record and acknowledge your generous gift.

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Donor Name Please enter the name of the donor as it should be shown in the thank you letter and in any public recognition.

I approve of this gift being publicly recognized.

Gift made on behalf of

Individual Organization

Contribution Date Please enter the date the goods or services were given to us. If services were provided over a period of time, please note that in the Gift Description and enter the date services started here.

Donor Determined Value Please enter your estimate of the value of the goods or services.

Contact Name Please enter the name of the person to whom we should address correspondence.

Organization Name Please enter the name of the organization or company if applicable.

Email Please enter the contact's email address.

Phone Number Please enter the contact's phone number.

Mailing Address Please enter the contact's mailing address.

Gift Description Please tell us about the goods or services provided.

Purpose

Name of Mountaineers staff member you coordinated with about this gift

Signature Please type your full legal name.

Date Signed

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This form does not serve as a receipt for this contribution, but is intended for our internal record keeping purposes only. A receipt describing the items donated will be mailed to the address above. The donor declared value must be determined by the donor. It is the responsibility of The Mountaineers to determine the fair market value for our internal record keeping. It is at the discretion of The Mountaineers to determine the most appropriate use for donated items. The Mountaineers is a 501(c)(3) non-profit organization. Our federal tax identification number is 27-3009280.

Gift-In-Kind Contribution Form

The Mountaineers

Mountaineers Books

Connect with the Mountaineers Community

Connect with the Mountaineers Books Community