In-Kind Donation Form
Thank you so much for your in-kind donation! Our federal identification number is 95-3920560. No good or services were rendered as a result of this donation. If you have further questions about your donation, please email donategoods@lafh.org.
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Group (if made by or on behalf of company/org/group)
Title or Role (if made by or on behalf of company/org/group)
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Mailing address (use company address if a company made the donation)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Item(s) donated
*
Item(s) value
Item was donatated through Amazon Wish List
*
Yes
No
Submit
Should be Empty: