Gift In Kind

Date*

Donor/Company Name:*

Phone*

Address*

City, State ZIP*

Contact Name*

Email address*

Description of Item, Gift or Service*

Estimated Cost*

Delivery of Item:*

Sending via mail

Please Pick Up

Please mail to: FSW Foundation, 8099 College Parkway I-124, Fort Myers FL 33919

Select one of the following

Donor Statement of Cost

Appraisal (please mail)

Receipt (please mail)

Please mail to: FSW Foundation, 8099 College Parkway I-124, Fort Myers FL 33919

Estimated worth is $500 or more

I will be submitting IRS Form 8283 to the Foundation to complete and return to me so it can be included in my tax return.

Please mail to: FSW Foundation, 8099 College Parkway I-124, Fort Myers FL 33919

Donated to (i.e. Event Name, Athletics, Pantry)*

Donor Signature / Person Completing Form*

Email address*

This field should be left blank

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