Contribution Tax Receipt Request
Submit this form to receive Tax Deductible Contribution Receipt for your donations. Once we have reviewed and approved the information, we will send you an email of Donation Acknowledgement Letter or mail a physical copy upon request.
Name
First Name
Last Name
Email
example@example.com
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.
Date of Contribution
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Donation Type
Please Select
Monetary Contributions (cash, check credit card, payroll deduction)
Non-Monetary Contribution
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For Monetary Contributions
Amount Donated:
How the monetary was donated?
Cash
Credit Card Transaction
Check
Other
if "other" was chosen, specify
For Non-Monetary Contributions
Detailed description of the item(s) donated and monetary valuation
List the item(s) description with a numeric value. Similar items can be grouped such as "clothing", "books". Try to be as detailed as possible.
Sample Entry: -Clothing Donation (Women's clothing)- $25
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Were goods or services provided in exchange for your contribution(s)?
*
YES
NO
if answered "YES", specify what goods/services rendered
Is there anything specific about your contribution(s) that we need to know?
How would you like to receive your Donation Acknowledgement Letter?
Please Select
Mail
Email
I affirm that the details furnished in this document are correct to the best of my knowledge
Signature
*
Submit
Submit
Should be Empty: