In-Kind Donation Form

Thank you for your generosity and in-kind donation to support Montgomery County Food Bank.

In order for us to log your in-kind donation properly, please fill out the following short form and sign at the bottom for our records. We appreciate your support!

Description of Services/Item(s) (and quantities) donated to Montgomery County Food Bank:(Required)

Date the Items/Services were provided:(Required)

Estimated Value of Item(s):(Required)

Did you receive goods or services from Montgomery County Food Bank in exchange for your donation?(Required)

Yes

If yes, what did you receive:(Required)

Value:(Required)

Purpose of Donation(Required)

General

Fighting Hunger, Feeding Hope Gala

Outrun Hunger

Shootout Hunger

Volunteer Appreciation Week

Partner Agency Conference

Other

What is the purpose of your donation?(Required)

Name of Contact Person at Montgomery County Food Bank:(Required)

Supporter Info

Supporter Name(Required)

First Last

Contact Position:(Required)

Company name:

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Signature(Required)

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