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In-Kind Donation Form
The PDC requires us to keep track of all in-kind donations. Please use this form and please email any receipts you may have to
treasurerld48@gmail.com
. Thank you!
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* Indicates required question
Full Name
*
Your answer
Street Address
*
Your answer
City, Zip
*
Your answer
Email address (in case we have questions)
Your answer
Phone
Your answer
Employer Name (can be retired or unemployed)
Your answer
Occupation
Your answer
Date of donation
*
MM
/
DD
/
YYYY
Description of donation (also include purpose, for what event or usage, quantity-especially with printed items. )
*
Your answer
Value of donation (at home printing we will use $.10 B&W, $.25 color per page)
*
Your answer
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