In-kind Donation Form Please enable JavaScript in your browser to complete this form.Name *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *EmailConfirm EmailEmployer *Occupation *Acknowledgement *I certify I am at least 18 years old and I am a U.S. Citizen or a permanent resident. Donations are not tax-deductible.Item(s) donated *Value of donated items *If the donation includes recent purchase(s), please attach the receipt.If you need to upload additional receipts, select the total number of receipts from the drop down.12345Attach receipt #2Attach receipt #3Attach receipt #4Attach receipt #5PhoneSubmit