In-Kind Donation Form
Winter Soiree - Benefitting the Union Police Department PBA Local #69
TOWNSHIP OF UNION PBA LOCAL 69 CIVIC ASSOCIATION INC
501(c)(3) EIN: 42-1604312
Event Date: February 7, 2025
Shackamaxon Country Club - Scotch Plains, NJ
DONOR INFORMATION
Contact Full Name
*
First Name
Last Name
Company/Donor Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
DONATION DETAILS
Type of donation
*
Please Select
Raffle - Gift Card
Raffle - Voucher
Raffle - Physical Item
Raffle - Service
Raffle - Wine Bottle
Gift Bag Inclusion - Coupon
Gift Bag Inclusion - Swag
Gift Bag Inclusion - Sample
Other
Description of Donation:
*
Estimated Fair Market Value:
*
Quantity
*
Is there an expiration date for the donation (if applicable)?
Yes
No
If yes, please specify the expiration date:
Would you like to be contacted about donating a bottle of wine starting at $10?
Yes, I would like to donate a bottle of wine
No
DELIVERY OR PICK-UP INFORMATION
How will the donation be delivered?
*
I will deliver the item(s) to the 1716 E 2nd Street, Scotch Plains, NJ 07076
Please arrange for the donation to be picked up.
I will ship the donation to 1716 E 2nd Street, Scotch Plains, NJ 07076
DONOR RECOGNITION
How would you like to be recognized for your donation? Please provide the exact name or company name for public recognition.
*
Please upload any logos or artwork relevant to your donation. You can also do this at a later time.
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Include your email, if different from above, to receive your donor recognition letter for tax deduction.
example@example.com
SIGNATURE
I affirm that the above donation is a contribution to support the Union Police Department, PBA Local #69. No goods or services were provided in exchange for this contribution, except for the recognition listed above.
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