Holiday Celebration 2018 - The Night Ministry
Individual
Holiday Celebration 2018
In-Kind Donation Form
DONOR INFORMATION
Corporation
Congregation
Date: ____________ Group
Name of Group/Individual:_________________________________________________________________
Address: _______________________________________ City/State/Zip: __________________________
Phone: (____)_________________________________ Fax: (____)______________________________
Email: _______________________________________
Contact Name: ____________________________ Contact's Phone: _______________________________
I'd like to receive:
Monthly e-newsletter (please include email address) Quarterly print newsletter
Category
Holiday Stockings Holiday gifts/toys/games
Food
Description
(meal groups list location & dates served)
Quantity Value
Hygiene
Socks
Baby
Linens/Towels
Clothing
(including underwear & outerwear)
Other (gift cards on
reverse)
Gift Designation: Unrestricted Youth Outreach Team The Crib Health Outreach Ministry RAPP ODS-WT Interim ODS-WT STEPS ODS-WT Continuing Care
Grand Total:
(must be determined by donor)
$
For Office Use
Donation received by: ___________________ Form completed by: ________________ Form to Gabi: _________________
1
Holiday Celebration 2018
In-Kind Donation Form
Gift Card Donations
Please fill out Donor Information on Page 1
Fast Food
Burger King Dunkin Donuts McDonalds Starbucks Subway Other
Drug/Grocery Store
CVS Walgreens Jewel Mariano's Other
General Retail
K-Mart/Sears Target TJ Maxx/Marshalls Wal-Mart Kohl's Other
CTA Passes
Ventra
Notes:
$5 $10 $5 $10 $5 $10
1 Ride ($3)
$15
$20
$25
$50 $
$
$15
$20
$25
$50 $
$
$15
$20
$25
$50 $
$
1-Day Pass ($10) 3-Day Pass ($20) 7-Day Pass ($28)
Grand Total:
Total Total Total
Total
2
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