Donation Form

TAX INFORMATION: Donors giving more than $250 in a single contribution to a tax-exempt nonprofit organization need a written acknowledgment from the organization to claim that deduction on their individual income tax return.

Abby Vasek In-Kind Charitable DONATION FORM

* Indicates required field

Event Name *

Organization Name *

IRS 501(c) 3 Tax Exempt Number *

Organization Address *

Line 1

Line 2

City

State

Zip Code

Country

Event Coordinator Contact *

First

Last

Phone Number *

Email *

Event Location *

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Line 2

City

State

Zip Code

Country

Date of Event *

Time of Event *

Length of Talk *

Abby's Time Slot *

Title of Abby's Talk *

Abby's In-Kind Donation Speaker Fees *

Other Donation Amount *

Any goods or services given in exchange for Abby's donation? *

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If yes, what did your organization give? *

Comments or Questions *

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Abby Vasek In-Kind Charitable DONATION FORM

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