In-kind Donation Form
PLEASE SUBMIT COMPLETED FORM TO:
Allison M. Dolan-Wilson
Vice President for Institutional Advancement
Executive Director, NECC Foundation, Inc.
100 Elliott Street, Haverhill MA 01830
Donor please complete the following:
Date of donation:
Donor Full Name:
Mailing Address:
Signature of donor:
Please note: Donations of gifts in kind are accepted with the understanding that the materials become the property of Northern Essex Community
College, and that the value is the responsibility of the donor. In turn NECC may use, keep, or dispose of items at its discretion.
NECC Contact:
Donor please complete the following:
FOR INTERNAL USE ONLY
Item Description: Quantity: Estimated Fair
Market Value:
Org #: Asset #:
If you have any questions or need assistance, contact Allison Dolan-Wilson at
978-556-3624. Instructions for completing the In-kind Donation Form:
1. The Estimated Fair Market Value must be completed by the donor.
2. D
onor to provide detailed information related to their contact information and full descripti
on
of t
he item or service being donated.
3. Mail completed form to the Office of Institutional Advancement for proper recording and
acknowledgement of gift. See address above.
