Fun Fest 2010, Let the Reading Begin!
                                                                A Collaboration of the United Way of Calvert County's Success By 6 Initiative,
                                                       Calvert County Public Schools, and the Interagency Council for Children and Families.




United Way of Calvert County                                                             Donation(s) Due:           Friday, April 9, 2010

Contribution                                             Monetary                                   In Kind                          Services

Name of Contributor:                                                                                    Date:
Agency/Company Name:
                       Address:


                          Phone:                                                                          Fax:
                     Phone #2:                                                                         Email:


      Monetary Contribution
      Amount:                                       Cash              Check # _______                               Other


      In Kind Supplies/Equipment
      Materials & Supplies:                                                                                                               $
                  (Description of
                Donated Material)

      Equipment:                                                                                                                          $
                    (Description of
                       Equipment)



      Donated Services
  Date of Service   Services                                                                        Hours of Service      Value Per Hour            Value of Service




                                                                                                                                  Total Value       $



Receipt of the In Kind Contribution described above is hereby acknowledged by the undersigned authorized employee.

Donor Signature:                                                                                                  Date:
Employee Signature:                                                                                               Date:

                               UW Office Use Only     Contact       Donation Received   Initials      Signature   Date Complete     Date Archived       Initials




  The United Way of Calvert County                                                                                                             410.286.0101, phone
  530 Main Street, P.O. Box 560                                 Federal Tax ID #52-1181917                                                        410.535.8987, fax
  Prince Frederick, MD 20678                                                                                                                www.unitedwaycalvert.org

Contributi

  • 1.
    Fun Fest 2010,Let the Reading Begin! A Collaboration of the United Way of Calvert County's Success By 6 Initiative, Calvert County Public Schools, and the Interagency Council for Children and Families. United Way of Calvert County Donation(s) Due: Friday, April 9, 2010 Contribution Monetary In Kind Services Name of Contributor: Date: Agency/Company Name: Address: Phone: Fax: Phone #2: Email: Monetary Contribution Amount: Cash Check # _______ Other In Kind Supplies/Equipment Materials & Supplies: $ (Description of Donated Material) Equipment: $ (Description of Equipment) Donated Services Date of Service Services Hours of Service Value Per Hour Value of Service Total Value $ Receipt of the In Kind Contribution described above is hereby acknowledged by the undersigned authorized employee. Donor Signature: Date: Employee Signature: Date: UW Office Use Only Contact Donation Received Initials Signature Date Complete Date Archived Initials The United Way of Calvert County 410.286.0101, phone 530 Main Street, P.O. Box 560 Federal Tax ID #52-1181917 410.535.8987, fax Prince Frederick, MD 20678 www.unitedwaycalvert.org