Item Donation Receipt

You can fill out this receipt for your own records - we will email you a copy.

Per IRS regulations, the donor must determine the dollar value of the items donated.

For our donation guidelines, please refer to our website listing.

First Name

Last Name

Email Address Type

Email Address

Are you donating on behalf of an organization (for instance, your employer)?

Yes, I am donating on behalf of an organization

Organization Name

Street Address

City

State

Zipcode

Donation Date (date sent to or dropped off at Global Links)

Supplies/equipment/items in donation:

Does your donation include a nebulizer?

I am donating a nebulizer.

Quantity of Nebulizers

Are you donating in memory of in honor of anyone? If so, put the person's name here:

Would you like to be on our Email Newsletter list?

Yes, subscribe me to your email newsletter list.

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