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Womens Center & Shelter Test

NON-CASH Donation Form

Thank you for your donation to Women’s Center & Shelter!

Please fill out the form in full. A copy of the form will be emailed to you. In compliance with IRS regulations, this email will serve as an official receipt for your contribution. No goods or services were provided as consideration for your donation. Please consult your tax professional regarding your contribution’s deductibility.

  • Contact Information

  • Donation Information

  • MM slash DD slash YYYY
  • According to IRS regulations, the donor must determine the dollar value of the donation. Your determination of value serves as the record for your taxes.