Nightmare Affair In-Kind Donation FormThank you for supporting ExplorationWorks! (Tax ID 81-0541491) Company/Individual Name * Recognition Name(s) (If different from above) Contact Person * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Donated Item * Description of Item * Expiration Date (if service) and other scheduling information: * Estimated Value of Item (for IRS purposes): * Delivery or Pick-Up Information: Thank you! Should we have any questions or need additional information, we will reach out to you directly.
