She is.... In-Kind Donation Form
Your Full Name
Contributor Name/Company
Contact Name
Contact Title
Address
Telephone
Email Address
Website
JLOCC Referring Member
Description of Goods/Services/Cash Contributed
Contributor's Estimate of Fair Market Value
$
Terms/Restrictions (if applicable)
Delivery of Contribution
Items will be picked up by a JLOCC Member
Items will be mailed/delivered to JLOCC Member by Contributor
Other
Recognition of Contribution
Contributor prefers NOT to be recognized by the JLOCC website, print, and social media.
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