501(c)(3) DONATION FORM/RECEIPT

501(c)(3) DONATION FORM/RECEIPT

South Carolina Emergency Nurses Association
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Thank you for your donation with a value ofwritten out dollar amount* dollars, numerical dollar amount*, made to the above-mentioned 501(c)(3) Non-Profit Organization.
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I, the undersigned representative, declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that no goods or services were provided as part of this donation. Furthermore, as of the date of this receipt, the above-mentioned organization is a current and valid 501(c)(3) non-profit organization per the standards and regulations of the Internal Revenue Service (IRS).
ENA Representative requesting donations:*

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The South Carolina Emergency Nurses Association truly appreciates your donation. For questions related to donations, contact events@sc-ena.org
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