Eliphante, Ltd.

In-Kind Donation Receipt

Date
Donor Name
Donor Signature

L
DONOR MAILING ADDRESS

ELIPHANTE LIMITED
PO Box 971
Cornville AZ 86325-0971

Name:
Street:
City, State, Zip:

Quantity or Description - (goods, services, facilities, equipment)

Hours
Donor Please indicate value of donation to the right

Value of
Donation

Total

Subtotal
Total Value

Donor Receipt

RECEIPT DESCRIPTION OF DONATION

DONOR INFORMATION

Date:

NAME:
Address:

Nature of Donation:
Telephone:
Email:

Value of Donation:

IN-KIND DONATION TO ELIPHANTE, LTD.

Thank you for supporting Eliphante, Ltd.,

a 501(c)(3) non-profit. EIN 86-0585312

PO Box 971
Cornville, AZ 86325-0971
928-634-2687
info@eliphante.org

Signed:

WWW.ELIPHANTE.ORG

,Title: