In-kind Donation Form
Name of Individual/Business:
Contact Name:
Address:
City/State/Zip:
Email:
Telephone:
Fax:
Chapter and Event Description:_________________________________________________________
Item/Service:
Item Value: $
Description:
Please complete this form for each item donated and return it to the following address:
UA Alumni Association
Attention: Nick Pierson
1111 North Cherry Avenue
Tucson, AZ 85721
Phone: 520-626-0705
E-mail: npierson@al.arizona.edu
Thank you for your support of the University of Arizona Alumni Association. Your fully tax-deductible
donation to the University of Arizona Foundation will help support The University of Arizona. Please
keep a copy of this form for your records.
University of Arizona Alumni Association use only
Date: __________________________________________
Alumni Association Contact: _______________________
Item number: ____________________________________
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 Thx Ltr
 Input DB
 Rcv.d