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Donation Receipt
Information Pertaining to Donations:
Questions?
EIN:
CONTACT NAME: PHONE, IF DIFFERENT THAN ABOVE:
( ) -
SIGNATURE OF DONOR: DATE:
/ /
PTO OFFICER SIGNATURE: DATE:
/ /
NAME OF ITEM(S): DONOR’S ESTIMATED VALUE:
$
DESCRIBE ADDITIONAL DETAILS OF DONATION, IF NECESSARY (RESTRICTIONS, SIZES, COLORS, ETC.):
COMPANY NAME: PHONE:
( ) -
ADDRESS:
CITY: STATE: ZIP CODE:
Donor Information:
Contact Information:
Fill in Parent Group Name
Fill in Event Name
Fill in Event Date
Fill in contact name, phone/email
This form, when signed below by an officer of the <XX> Parent Group, will serve as your receipt. The <XX> Parent Group is a
nonprofit section 501(c)3 tax-exempt organization. Values of donated items have been set by the donor and not verified by the <XX>
Parent Group. We have not provided you with any goods or services in exchange for your donation.
Fill in parent group's EIN.
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