Donation Receipt

Donation Receipt

Thank you for supporting the work Ordinarie Heroes is doing in marginalized communities. Please complete the form below to receive your donation receipt. Your receipt will be sent to the email address you indicate.
Date of Donation:*

MonthDayYear
Date
Donor Information:
Donated by:*

First NameLast Name
Donor Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:*
example@example.com
Donation Information:
Donation Type:

Cash DonationItem DonationOther
Description of Donation:
Signature

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No goods or services were provided to the donor by Ordinarie Heroes Inc in exchange for this donation.

Ordinarie Heroes
828 S Alden Street
Philadelphia, PA 19143
215.385.5135
www.ohmovement.org
EIN # 47-4100206
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Donor Information: