Bike New York's In-Kind Gift Receipt
Thank you for your charitable donation to Bike New York (EIN #13-4069149). With your help, we empower New Yorkers to transform their lives and communities through bicycling. Please note: While tax benefits are available to taxpayers who itemize deductions, it is the donor's responsibility to determine the fair market value of an item. There were no goods or services provided to you in exchange for this donation.
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of donation (check all that apply)
Complete bike(s) – adult or child
Bike parts /accessories
Cycling clothing or gear
Other (please specify)
Bike donation details (Bike 1)
Brand
Model
Type (i.e. hybrid, mountain, road, cruiser, 3-speed, child's bike, etc.)
Color
Size
Do you have another bike to donate?
Yes
No
Bike donation details (Bike 2)
Brand
Model
Type (i.e. hybrid, mountain, road, cruiser, 3-speed, child's bike, etc.)
Color
Size
Do you have another bike to donate?
Yes
No
Bike donation details (Bike 3)
Brand
Model
Type (i.e. hybrid, mountain, road, cruiser, 3-speed, child's bike, etc.)
Color
Size
Bike parts, apparel, or other items being donated:
Please indicate quantities and sizes where applicable. (Examples: 3 large men's bike jerseys, or one set of clipless pedals, or bike lock with chain)
Item description:
Submit
Should be Empty: