RMHC In-Kind Donation Form

Thank you for donating to Ronald McDonald House Charities® of Central and Northern Arizona.

We appreciate you taking the time to fill out this form.

Even if you do not want a donation receipt, filling out this form helps us calculate the impact our incredible donors like YOU have on our bottom line!

(Plus, our wonderful accountants are much happier and more likely to smile at us when we can give them this information!)

Date of Donation*

Donor Full Name*

First NameLast Name

Organization or Business (if applicable)

Phone Number*

Email*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Select the type(s) of contribution*

General ItemsPop TabsBoth

1. Please provide a description of the donated item(s)*

Ex. Shampoo, deodorant, blankets, or canned green beans. Please use a new entry for each category of goods donated.

Quantity

Estimated Fair Market Value of this donation *

If claiming $5,000 or more on your taxes, you must obtain a qualified, written appraisal at the time of donation. See IRS Publication 561 and/or consult with your tax accountant. According to IRS regulations, establishing a dollar value on donated items is the exclusive responsibility of the donor.

2. Please provide a description of the donated item(s)

Ex. Shampoo, deodorant, blankets, or canned green beans. Please use another form if you are donating more than two categories of items. Thank you (it's not us, really, it's those accountants!)

Quantity

Estimated Fair Market Value of this donation

Estimated Pop Tab Weight

Thank you so much for making life at the Ronald McDonald House better for the families who call us home!

Type a question