Karen Wyckoff

Rein in Sarcoma Fund

Gift in Kind Donor Form

 Please return form to:   Karen Wyckoff Rein in Sarcoma Fund              Phone:    651-486-9114

                                    3312 Richmond Avenue                                     Website: www.reininsarcoma.org

                                    Shoreview, MN 55126

Please Note: Receipt cannot be issued without complete information, including signature.

Print this form by using print on your web browser

 

 


 

Donor is:         Individual       Organization/Company

 

Donor Name (as it should appear and in print)                                                                                              

 

Name of Contact Person (for Organization/Company)                                                                                

 

Address:                                                                                            

 

City/State/ZIP:                                                                                         

 

Donor Signature:                                      Date:                E-mail:                            

 

Your Website (if you would like it linked from the Rein in Sarcoma Website):                                        

Item Information:
 

 

 

 


Item Name:                                                                             Estimated fair market value of item $                    

 

Item Description: (please specify color, size, material, time available, restrictions or other requirements as you would like it described both at the Rein in Sarcoma Event and on our website)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

If your gift is valued over $500, is the IRS 8283 Form Attached?            Yes       No                                                   (we will send you a form, if one is not attached)

Check appropriate selections:

      Tangible Item

      Certificate (If this donation is a gift certificate, please attach)

      Item should be displayed at auction

       Donor will provide display material for intangible items or to accompany item (i.e. brochures, photos, picture boards, posters)

      No display materials

GIK 11-28-04

 
 


Questions should be directed Kathy Dobovsky at 612-529-8442