Gift-in-Kind

Gift-in-Kind Donation Form

Thank you for making a donation to Five Acres! The IRS requires us to track all gift-in-kind donations using the below form. Please complete as accurately as possible. If you have questions, please contact Athena Asklipiadis in Five Acres’ Advancement Department: aasklipiadis@5acres.org or call her at (626) 487-4971.

Gift-in-Kind Form

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

First and last name of donor contact*

If business is donating, name of company/organization*

Street Address*

City/State/Zip*

Phone*

Email*

Is this your first gift to Five Acres?

Do you wish to be anonymous?

Total value of gift: $*

Please provide a detailed description of item(s) donated and how many.

Please indicate which program/event you're donating towards **

Holiday Drive

Family Angels

Wish Tree

Cottage Angels

Other program/event

Did you donate any gift cards? *

How many gift cards did you donate?

Type of gift cards

Did you make a donation via check?

Check number

Check value

GDPR Agreement*

I consent to having this website store my submitted information so they can respond to my inquiry.