Inkind Contribution Form

Do you own a company (i.e. Retail, Beauty/Wellness, Fitness, etc.) who would like to donate complimentary visits or services? Or, are you an individual with a great skill or talent to share? You've come to the right place! As you may know, empowerHER Mentors are donating their time to mentoring a young girl and we encourage "low or no cost" activities with their Mentee! Complete this form and we will share your description with our Mentors each month and they will contact you to redeem! *If you are looking to donate to a silent auction or other fundraising initiative, please complete this form and we will be in touch regarding pickup. As always, THANK YOU for your love + support of empowerHER!

First Name

Last Name

Company

Enter "N/A" if you are donating as an individual and you are not associated with a particular company.

Street Address

City

State

Zip

Contribution would support

Description of Goods or Services

Tell us about the goods or services you would like to offer. Please be as specific as possible as your description will be shared with all empowerHER Mentors and they will coordinate with the Mentee and her family when redeeming your kind donation!

{name}

A photo of the product or your logo

This will appear on our online activity/resource site

Attach file

Drop files here

Scope of contribution

Tell us more about the extent of time, services, goods that you are able to offer. It is important for empowerHER Mentors to know exactly how many items, how many visits, and/or how long you are offering your generous donation.

{name}

Fair Market Value (FMV) of your inkind donation

For income tax purposes, we will mail you a receipt for your generous donation.

Tax Acknowledgement sent

Additional information

Tell us more! We will share more with our empowerHER Mentors and they will be in touch with you to coordinate.

{name}

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