In-Kind Donation Form

In-Kind Donation Form
Name*

First NameLast Name
Company Name
Title
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Donation Value $*
I would like to donate:*

Tax-Deductible Cash DonationServiceGift CardEvent SpaceOther
Description of Product/Service*
Attachment

Please include any attachments (e.g., logo, photos, etc.) that would help us better understand your product / service.
Cancelof
Please make checks, corporate matches, and other donations payable to:

“QUEEN KONG ORGANIZATION”
Additional Comments / Special Request:
How did you hear about us?*

ReferralSocial MediaOnline AddMediaPrint AdOther
Terms and Conditions: By submitting this form, you agree to the terms and conditions of the Queen Kong Online Raffle Fundraiser. Your donation will go towards supporting women facing adversity.
I agree to the terms and conditions.*

Yes
Should be Empty: