WY-WSF Donation Form

Donor Name:   

Company Name (if desired):   

Mailing Address: 

City: 

State: 

Zip Code: 

Telephone: 

E-Mail: 

Donor's Signature(if available): 


*WY-WSF makes no representation, express or implied, concerning deductibility of this item for federal income tax purposes.
Donor should contact tax advisor for questions regarding deductibility of this donation. WY-WSF is a tax exempt 501(c) organization.

Description of Donation(up to 500 words)

Date of Donation   

Est. Value of Donation: 

Item is 100% Donated?

Signature of WY-WSF Representative:   

Date   

 

  

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