In-Kind Donation Form
JLOCC Member
Donor/Company Name
Contact Name
Contact Email Address
Contact Address
Contact Phone
Donor/Company Website
Donor/Company Logo
JLOCC Referring Member
Which JLOCC event is this supporting?
Description of Goods/Services
Estimated Fair Market Value
$
How are the goods/services received by JLOCC?
Services will be rendered at a JLOCC event
Goods will be delivered to HQ by donor
Goods will be collected by JLOCC member
Goods will be mailed to HQ
Other
May we recognize the company/donor?
Yes
No
Terms and Conditions/Restrictions
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