Date:
In-kind Donation Sports Club:
Donor Name: Donor Email Address: Donor Home Address:
Description of Item, Gift, or Service:
Fair Market Value: Check one of the following: Donor Signature Would like tax documentation to claim this donation Club Treasurer Signature (all requests): Date Received Form:
□ Donor Statement of Value □ Appraisal Attached □ Receipt Attached □ Yes □ No
Treasurer’s Use Only
Date Issued tax documentation:
NOTE: If any questions email or call Gwen Levit 770-490-7763
[email protected] Gladiator’s Athletic Association, 5575 State Bridge Rd., Johns Creek, GA 30022
10/28/2015