In-Kind Donation Form

Please let us know what in-kind item you would like to donate to AuSM. In-kind donations of of $100+ are appreciated, but not required. We are grateful for your donation!

Name*
First Last
Company Name (If applicable. For public acknowledgement.)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
E-mail*
Company Website (If applicable.)
Item
Item Description*
Estimated Value*
If this item has exclusions or an expiration date, please indicate here.
How will you get this item to AuSM?*
- Will drop off item at AuSM office.
- Will mail item to AuSM office.
- Item will need to be picked up by AuSM staff.
Would you like more information about AuSM?*
- Yes
- No
To learn more about the Autism Society of Minnesota's events and fundraising efforts, or for more information about other programs and services, contact:
Britani Gilbert, Events Coordinator
651.647.1083 ext. 27
bgilbert@ausm.org

In-Kind Donation Form

In-Kind Donation Form

Item