In-kind Donation Form - Texas
Your gift of items to be used, auctioned or sold by Art Conspiracy will help fund non-proﬁts in the Dallas-Fort Worth Metroplex that provide
arts programming to underserved groups. In-Kind donations are tax deductible as determined by the IRS (please consult your tax advisor
or IRS publications for details).
Event Event City State Event Year
STEP 1: DONOR INFORMATION
In-Kind Donation Form
STEP 2: EMAIL ADDRESS
This gift is from a Business or Organization/Foundation.
Name of Business or Organization/Foundation
This gift is from an Individual.
First Name MI Last Name
Name to publish, if different
Go green! Providing your email address lowers our costs and beneﬁts the environment.
We do not sell, rent, exchange or otherwise share your information with any other organization or individual.
STEP 3: OPTIONAL GIFT INFORMATION
If you wish to remain anonymous, please check this box.
STEP 4: MAILING ADDRESS
City State Zip Phone Home Work Mobile
STEP 5: DONATED ITEMS
According to IRS guidelines, it is the donor’s responsibility to determine the present fair market value (FMV) of items donated. Your
estimates below will help us recognize your gift appropriately.
Date of Donation
Description of item(s) or service(s) Estimated FMV
STEP 6: SIGNATURE
The above items were received by the following Art Conspiracy representative:
(please print) Signature (re-typed name serves as electronic signature) Date
Please return this completed form to email firstname.lastname@example.org or mail to:
Art Conspiracy, 3818 Cedar Springs Rd. #101-106, Dallas, Texas 75219
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