Thomas Edison State University Foundation
23rd Annual Thomas C. Streckewald Golf Classic
Monday, May 8, 2017 • The Ridge at Back Brook, Ringoes, NJ
GIFT-IN-KIND DONATION FORM
Name:
(If applicable, Name of Business & Contact)
Street Address:
City:
State:
Phone:
ZIP Code:
E-Mail:
Item Name:
Item Description:
Fair Market Value of Item: $
(Determined by donor)
Donor Signature:
Date:
Note: Signature verifies the “Fair Market Value of Item” was provided by actual donor.
Please mail your contribution and this completed form to:
Thomas Edison State University Foundation
Attn: Jaclyn Joworisak
111 West State Street
Trenton, NJ 08608
If you are unable to mail your contribution, please call (609) 984-1588 ext. 2080, or email
[email protected] for pick-up.
The Thomas Edison State University Foundation is a 501(c)(3) nonprofit organization,
Tax I.D. No. 22-211-7814.
Contributions of services and partial interest (e.g. use of vacation home) are not deductible as
charitable contributions. If you have questions regarding this policy please refer to www.irs.gov
publications 526 and 561 and consult your tax advisor.