In-kind Donation Form: Save Haven Food Pantry and Community Closet

In-Kind Donation Form: Safe Haven Food Pantry and Community Closet

ACLAMO (23-2059489) appreciates donations of any amount from individuals, groups, corporations, and foundations. As a 501(c)(3) Non-Profit organization, all donations are tax deductible to the extent allowed by law. All donations will be used to support programs for Low to Moderate (LMI) Income individuals, children, and families in Montgomery County. Thank you! For information about making a donation, please contact Dr. Doug Ferguson (businessdevelopment@aclamo.org) or call 610-277-2570 to coordinate the date and time to send the donation. By filling out this form, I understand that notice of donated items must be coordinated at least one week in advance to the appropriate ACLAMO staff person to ensure staff are available to receive the donation. Questions? Contact Doug Ferguson, Director of Development and Communication (businessdevelopment@aclamo.org) or call 610-277-2570 today to schedule a brief meeting.

Date(Required)

Donor Name(Required)

Company Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Type of Donation(Required)

Gift in Kind

Safe Haven Food Pantry/Community Closet

Other

List of Items(Required)

Quantity of Items(Required)

Estimated Value(Required)

Signature(Required)

Received by