Children's Hopes and Dreams — Wish Fulfillment Foundation

Phone: (973) 361-7366
Fax: (973) 361-6627
www.childrenswishes.org
info@chdfdover.org
Serving Ill and Needy Children for over 20 years
In-Kind Donation Form
Please: print this form, fill it out and sign. Attach an inventory list of items to be donated. Please describe items briefly (i.e., dolls, plush, candy, books, etc.). FAX this information to Luke Oswald, Program Director at (973) 361-6627.

Donor Company's Information

Company Name: _________________________________________

Address: _____________________________________________

City, State, Zip: _____________________________________

Product Donation Approved By: ____________________ Title: _____________________

Signature: ___________________________ Date: ___/___/_____

Contact Person:_________________________ Email: ________________________

Phone: (___) ___ - ________     Fax: (___) ___ -_________

FMV of Donation $__________  Products Can be Shipped on/About Date: _____/_____/______
for FMV (Fair Market Value), refer to IRC 170(e)#3

Donated Items will be distributed to: (please check one)

__ Any ill, traumatized or needy child and their family      __ Restrict product donations to specified area*.
                                                                                       *A representative will call you regarding distribution details.

Quantity: __________                    Description:______________________________
(i.e., number of pieces, cartons, pallets)                             (i.e., dolls, plush,candy, books)

Please fill in the following if point of origin or shipping contact differs from above.

Company Name: _________________________________________

Address: ______________________________________________

City, State, Zip: ___________________________________________

Phone: (___) ____ - ___________     Fax: (___) ____ -__________

Contact Person: _________________________ Title: __________________

Email: ___________________________________________

Return to Kids Kare page.    Return to home page.
Chldrens' Hopes & Dreams Wish Fulfillment Foundation will make good use of any new, obsolete, non-currrent, overstocked or available items on hand that are appropriate for children from birth through the age of seventeen. We will ALSO consider collectible items. All items donated will be distributed to ill and needy children and their families. No item will be sold, traded, bartered or used for raffles or auctions. Tax documentation required for appropriate tax benefits will be sent upon receipt of donation. All items are given to the ill and needy children and their families without fees or costs of any type.

Children's Hopes & Dreams-Wish Fulfillment Foundation, Inc.
86 Auble Road
Blairstown NJ 07825