In-Kind Donation Form
Community Foundation of Northwest Mississippi
Organization
*
Name
Nonproift ID Number
Full Name
*
First Name
Last Name
Title
*
Executive Director, etc.
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Summary of Donation Items with Estimated Value plus how used if received a donation from CFNM.
*
For example, 12 handicap items for distribution to older clientele with value of $00.00.
County or Counties served
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Optional - upload supplemental files.
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