In-Kind Donation

In-Kind Donation

Thank you for donating to Clara's Hope. Please fill out this form in full. You will be emailed a copy. Please keep this copy for your records.
Your donation is tax deductible with your own estimate of value. The following items were recieved by us. NO GOODS OR SERVICES WERE RECIEVED IN EXCHANGE FOR THIS DONATION.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What item(s) you are donating?*
What is the estimated value of the item(s) you are donating?*
Should be Empty: