In-kind Gift Receipt Request Form - Boys & Girls Club of Dallas

To be completed when an in kind donation is dropped off. A confirmation email will be sent to donor as a receipt.

Club Location*
Name of Staff Member Completing the Form*
Send Additional Confirmation To

If you would like a Club Director or other email address to receive confirmation of this receipt, please add it here.
Date Gift Received*
MM slash DD slash YYYY
Is this gift from an organization or individual?*
Organization Name*
Contact Name*
First Last
Contact Email*

This email will receive the in-kind receipt.
Contact Phone*
Contact Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Name*
First Last
Email*

This email will receive the in-kind receipt.
Phone Number*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Value of In-Kind Gift*
This must be determined by the donor.
Items Donated*
Additional Notes