Donor

(Business,

Individual,

Organization)

Item or

Service

Donated Quantity

Fair Market

Value

(each)

Contact

Name

Street

Address

City, State

Zip Phone Email

Pick Up or

Drop off Notes

Date

Received Total Value

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

NEDA Walk In-Kind Donations Spreadsheet