In-Kind Donation Form

Today's Date

Name

First

Last

Organization Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What is the total estimated value of your donation?

Phone

What Program is this donation being designated to?

Please provide a description and quantity of the item(s) you are donating.

Comment or Message

Please Organization a

For more information about other opportunities for giving, please contact Kathleen Guzman, Development Coordinator, kathleen.guzman@theupcenter.org or call: 757-965-8696. Please keep a copy of your receipt for tax filing purposes.

The Up Center is a 501 (c) (3) nonprofit organization. Your contribution is tax-deductible as permitted by law. For your IRS records, please note that you have received no goods or services for this kind donation. A copy of our annual report can be found on our website, www.theupcenter.org.

By signing up, you agree to receive occasional emails from The Up Center about news, events, and updates. You can unsubscribe at any time. We respect your privacy and will never share your information without your consent.