Fillable Chemeketa Foundation In Kind Gift Form (Chemeketa Community College)

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Chemeketa Foundation In Kind Gift Form (Chemeketa Community College)

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Chemeketa Community College Foundation
4000 Lancaster Drive NE
PO Box 14007
Salem, Oregon 97309
503-365-4747
foundation@chemeketa.edu
DONATION – Please describe in detail, giving as much information as possible (one item per line,
up to five items per form). Donor provides value of items for tax purposes.
Item:
Value $
Item:
Value $
Item:
Value $
Item:
Value $
Item:
Value $
Signature of Donor
Date
Benefitting Department / Area
By signing this form, the donor relinquishes all rights to the above items to Chemeketa Community
College. To receive a receipt for tax purposes, this form must be complete with an address or email of
the donor. When donating a vehicle valued over $499.99, please contact the foundation directly as
additional information is needed. The foundation is a 501(c) (3) non-profit arm of the college. In
partnership with the college, the mission of Chemeketa Community College Foundation is to support
the college in meeting the needs of students. Tax ID # 93-6097106
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Chemeketa Foundation In Kind Gift Form (Chemeketa Community College)

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Completed 27 July 2020

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