Rainbow Families Foundation - In Kind Donation Form

Rainbow Families Foundation
8543 Hemlock Ridge
Kirtland, OH 44094

E-mail: founder@rainbow-families.org
Website: www.rainbow-families.org

In-Kind Donation

Please complete this form and return it to the Rainbow Families Foundation. If you have any questions, please call.

Donor Name or Company:	________________________________________________
Contact Person:	________________________________________________
Title:	________________________________________________
Full Address:	________________________________________________
City:	________________________________________________
State:	__________________________________ Zip: _________
Phone Number:	________________________________________________
Fax Number:	________________________________________________

ITEMS AND/OR SERVICES	FULL VALUE	DONATED VALUE
________________________________________	____________	____________
________________________________________	____________	____________
________________________________________	____________	____________
TOTAL DONATION		$ ____________

I certify that the above listed amounts to be correct:	________________________________________
	Signature of Donor

Special Comments:	__________________________________________________________________
	__________________________________________________________________
	__________________________________________________________________

Thank you for your generous gift to the Rainbow Families Foundation.