In-kind Donation Form This form should be completed for all donations of goods or services to AID Atlanta. Please allow the donor to keep the original and submit a copy to Donor Services. 1605 Peachtree Street, NW Atlanta, GA 30309-2955 (404) 870-7700 AIDAtlanta.org Thank you for your donation! Please take a moment to complete this form and retain a copy for your records. If this is a corporate donation, please include the company name and address as well as your name. NAME:  _______________________________________________________________________ Please select one: Mr. ___   Ms. ___   Miss ___   Mrs. ___   Dr. ___ ADDRESS:   ___________________________________________________________________ CITY:  _____________________________  STATE:  ___________________   ZIP:  _________ May we list your name in our annual report and other publications? Yes ___     No ___ PHONE (home):  _____________________________ PHONE (work):  _____________________________ E-MAIL ADDRESS:  _______________________________________ Would you like to receive e-mail notices of future AID Atlanta events? Yes ___     No ___ DESCRIPTION OF ITEM OR SERVICE DONATED: ________________________________________________________________________________ ________________________________________________________________________________ ESTIMATED VALUE: $______________________ Questions? Please contact:    Steve Balfour, Director of Development | telephone: (404) 870-7730 | e-mail: steve.balfour@aidatlanta.org Received By:  _________________________________________ Date:  ___________________ No goods or services were provided, in whole or in part, for the property or services donated.