2022 FFMB In-Kind Donation Form

Here are some of the ways we share appreciation for your gracious donation of an in-kind item for Shepherd’s Hope 2022 Famous Faces Masquerade Ball. Thanks in advance for your consideration. It means a great deal to all of us, especially the uninsured men, women and children who wait in line nightly at our five health centers in search of hope and healing.

• Recognition on signage and/or electronic bidding devices displayed during the event

• Name recognition on Shepherd’s Hope website leading up to the event

• An IRS tax deduction for the value of your contribution

Description of Item(s) and/or Service Donated. Please be as specific as possible. Include terms or any other information that will accurately describe the oﬀering. Brochures or display material are helpful *

Estimated Fair Market Value of your contribution: $ *

Committee Contact

First NameLast Name

Donor Information *

First NameLast Name

Company Name*

Title*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Fax Number

Please enter a valid phone number.

Email*

example@example.com

Questions:

Development Department
Shepherd’s Hope
407-876-6699 Ext. 223
Development@ShepherdsHope.org

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Shepherd’s Hope is registered with the state of Florida to solicit contributions #CH7855. A copy of the Shepherd’s Hope, Inc. Official Registration and Financial Information may be obtained from the division of consumer services by calling toll-free (800-435-7352) within the state. Registration does not imply endorsement, approval or recommendation by the state.