Donations

Complete the following form to request a donation receipt to an individual or business/organization that has made a tax-deductible donation to the Merion Village Association.
RELATIONSHIP TO DONATION*
YOUR NAME*

First NameLast Name
YOUR E-MAIL ADDRESS*

Confirmation Emailexample@example.com
INDIVIDUALBUSINESS / ORGANIZATION
Donor Name*

First NameLast Name
Donor Business / Organization Name*
Donor Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Note: donation receipts can only be provided by email. Please ensure the email address provided below is correct and actively monitored by the donor.
Donor E-Mail Address*

Confirmation EmailWe'll send the receipt to this address
Date of Donation*

MonthDayYear
Date
Item DonationMonetary DonationService DonationSponsorship
Summary of Item(s) Donated:*
Summary of Services Donated:*
Summary of Sponsorship:*
Total Value of Donation*
Use the $ symbol and decimal point is in this field (IE: $5.00)
GeneralEvent: Chili Cook-OffEvent: FestivalEvent: Founder's DayEvent: Garden TourOther
I, the undersigned, certify under penalty of perjury under the laws of the United States of America that there were no goods or services provided as part of this donation. I further certify that all information provided in this request is complete and accurate.
SIGNATURE*

Clear
TITLE
Request Date*

MonthDayYear
Should be Empty: