Troop/Group Donation Notification

Troop/Group Donation Notification
Date of Gift*

MonthDayYear
If the gift is for a council-hosted Special Fundraising Event, please select:
Please select the type of gift:*

CashCheckPhysical Good(s)Professional ServiceFacility RentalOther
Gift Given to ____________________.

Girl Scouts Dakota Horizons CouncilService UnitTroopIndividual GirlOther
Gift Made By*
Contact Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Please provide a description and value for each gift. *
Do you require an IRS Tax Receipt from Girl Scouts—Dakota Horizons?

YESNO
Donor Signature:
By typing your name into this box you are providing an electronic signature stating that you donated the above in-kind gift(s).
Notes to Donors:

Girl Scouts-Dakota Horizons gratefully acknowledges your contribution. Thank you for your generous support and for taking a moment to complete the above Contribution form. You are encouraged to consult with your tax adviser for current laws applicable to your generous in-kind donation(s).
Recipient Information
Receiving Party Signature*
By typing your name into this box you are providing an electronic signature stating that you received the above in-kind gift(s).
Phone Number*

Area CodePhone Number
E-mail
Girl Scouts—Dakota Horizons is a non-profit 501(c)3 organization (Tax ID 46-0250744).
Should be Empty:

Recipient Information