WCTC Foundation Office
800 Main Street, room C-213
Pewaukee, WI 53072
262.691.5202 (Phone); 262.691.5593 (Fax)
www.wctc.edu/foundation
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WCTC Foundation
In-kind Donation Report
Whenever equipment, vehicles, textiles or any other usable item is donated to Waukesha County Technical College (WCTC), the
WCTC Foundation records and acknowledges the contribution for the District. This form should be completed and routed for
appropriate dean and administrative signatures. Any questions, please call the WCTC Foundation office at 262.691.5202.
Please complete required information:
TO: WCTC Foundation, Inc.
800 Main Street, Room C-213
Pewaukee, WI 53072
Date __________________________________________________
From __________________________________________________ Dept./Instruction Unit __________________________________
Name of donor _______________________________________________________________________________________________
Company ___________________________________________________________________________________________________
Address ___________________________________________________________________________________________________
City, State, zip _______________________________________________________________________________________________
Date item(s) received (or arrive) at WCTC _________________________________________________________________________
Items provided:
Approximate present value of donation ____________________________________________________________________________
Specific program(s) to utilize donation _____________________________________________________________________________
WCTC campus at which item(s) to be used ________________________________________________________________________
Name of WCTC responsible for securing donation ___________________________________________________________________
Signature (associate dean) __________________________________________________________ Date ______________________
Signature (dean) __________________________________________________________________ Date ______________________
Please return a printed and signed copy of this completed form to the WCTC Foundation Office (Pewaukee Campus,
room C-213), or fax to 262.691.5593.
