In Kind Donation Form

 

Greater Greensboro Republicans Women's Club
P. O. Box 4494 - Greensboro, NC 27404

FROM:


Name: ______________________________________


Address: ______________________________________


City, State, Zip: ______________________________________


Employer and Occupation: ______________________________________

 

Donation Date:______________________________________

 

Description of item or service, including restrictions (Attach receipts if possible or fair market value of item)

 

 

 

 

 


Value $ _____________________ 

 

Posted by: ______________________________ (club use only)