In Kind Donations Public Min - qa01master02

In-kind Donations

1. In-Kind Donation

4. Estimated Value	5. Notes
4. Estimated Value	5. Notes

7. Contact Information

* First Name:

* Last Name:

Phone & Address

* Email:

Phone Number:

* Type of Address:

* Country:

* Address:

Apt/Suite/Unit/Other:

* City:

* State/Province:

* Zip/Postal Code:

County

In the future, it is Ok to contact me by Email

Acceptance

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