Item service donation form

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Item service donation form

Item service donation form

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  • 1. DARYA A. BUSHMAKIN, MBA Facebook / Twitter / LinkedIn / Pinterest / Instagram / Video Resume / Website / Slideshare (603) 689 – 4513 / dbushmakin@gmail.com ITEM / SERVICE DONATION FORMDATE ____/____/____ FOR OFFICE USE ___(ENTERED) ___(COMPLETE) ITEM NUMBER_____________DONOR COMPANY NAME:_______________________________________________________________DONOR CONTACT NAME(MR. MS. MRS.):_______________________________________________PHONE: (________)________________________ FAX: (________)__________________________E-MAIL ADDRESS: ______________________________________________________________________ADDRESS: ____________________________________________________________________________DESCRIPTION OF THE ITERM / SERVICE BEING DONATED (INCLUDE ANY RESTRICTIONS):____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________RETAIL VALUE: $_______ DONOR REP SIGNATURE:_______________________ITEM HAS BEEN DELIVERED____CERTIFICATE ATTACHED____OTHER____PLEASE PICK UP ITEM ON ____/____/_________PLEASE CREATE A CERTIFICATESOLICITOR ______________________________ SOLICITOR PHONE: (________)____________________THANK YOU FOR YOUR TAX-DEDUCTIBLE DONATION. OUR IRS FEDERAL TAX ID IS #___________. PLEASERETAIN A COPY OF THIS FORM FOR YOUR RECORDS. LOGO