Non-Monetary Gift Description
Date: _________________________
Donor Information:
Company Name: ______________________________________________________________________
Contact Person: _______________________________________________________________________
Address: _____________________________________________________________________________
City: ________________________________ State: _______________ Zip: _______________
Daytime phone: ________________________________ Email: _______________________________
Gift Description:_______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Estimated fair market value (by donor): $______________________
Special instructions (e.g., item delivery or pick up, restrictions, etc.):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please return this form to:
Oral Roberts University
Attn: Development
7777 S. Lewis Avenue
Tulsa, OK 74171
918.495.7220
development@oru.edu
This form does not serve as a receipt for this contribution, but is intended for our internal record
keeping purposes only. A receipt describing the items or merchandise donated will be mailed to
the address supplied above. ORU is unable to include the estimated value on the donor receipt.
It is the responsibility of the donor to substantiate the fair market value for his/her own tax
purposes. Please consult with your tax advisor to determine the tax implications of your gift.