In-Kind/ Volunteer Donation Form Date* Date Format: MM slash DD slash YYYY Donor Name* First Last Donor Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please Select One*Board MemberCommunity VolunteerAgency/BusinessActivity/ Event*Description of Duties/Items Donated*DateTime InTime OutTotal HoursDescription of Goods/ Services Acknowledgement* I acknowledge that all the information on this form is complete and correct to the best of my knowledge.
