In-Kind Donation FormContact Name(Required) First and Last Company Name * If applicableEmail(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Donation InformationWhat is this donation meant for?(Required) Client Use Event Use If for an event, please provide the name of the event: Detailed Donation Description:(Required)* Please provide details such as: blackout dates, expiration dates, etc.Provide the Fair Market Value for each item:(Required) Physical Item or Digital Certificate?(Required) How will you be delivering the item?(Required) In person Mail Email Who should be credited for the donation?(Required) If none type n/a.Upload your company logo, if applicableMax. file size: 512 MB.Upload a photo of the item/(s) or digital certificate.Max. file size: 512 MB.Donation Checklist:(Required) Completed In-Kind Donation Form. Added a photo of physical item, or included a graphic of the digital certificate. Uploaded a logo in digital format (min 300 dpi). Please be sure you have provided the following items for your donation to be entered into our system.All donations are tax deductible to the extent allowed by law. No goods or services were provided to you in consideration for the is gift. BCRC Tax ID: 74-2743333. For questions, please contact Arlene Joye at ajoye@bcrc.org or 512-524-2560. THANK YOU! 63760
