Internal Donation Form for Receipting - Big Brothers Big Sisters of Hamilton and Burlington

ADMINISTRATIVE INFORMATION

Date of Donation*

Donation Received By:*

First Last

Donation Amount Received:*

Less Advantage (if applicable):

*The advantage is generally the total value of any property, service, compensation, use or any other benefit that you are entitled to as partial consideration for, in gratitude for, or in any other way related to the gift. For example, a Golf for Kids Sake participant makes a $300 donation; however $75 is allocated for their round of golf, $50 for their dinner. This means the advantage for this donation is $125 ($75 plus $50).

Amount to Receipt:*

If applicable, please deduct any advantages here. For example, a Golf for Kids Sake participant makes a $300 donation; however $75 is allocated for their round of golf, $50 for their dinner totaling $125. This means the amount to receipt for this donation is $175 ($300 minus $125).

Donation Type:*

Please select one of the options below.

Select Campaign:*

Please select all that apply.

Year of Campaign:*

Tribute/In-Memoriam Details:

Please indicate the name of the individual who is in-memoriam and any other details that may be required for acknowledging this gift.

Select Appropriate Follow-Up:*

Notes:

Please add any additional notes you would like to include.

DONOR INFORMATION

Donor Name:*

First Last

Donor Company:

Donor Email:*

Donor Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CASH DONATIONS

If a donation of cash was received, please complete the following section.

Cash Denomination Received:

$100.00x	$50.00x	$20.00x	$10.00x	$5.00x	$2.00x	$1.00x	Loose Change

Cash Given To:

CREDIT CARD DONATIONS

If a credit card donation is received, please secure credit card info until contacted by Office Administrator to process.

Please contact staff member who submitted form for credit card info.

Please include any applicable notes for Office Administrator.

CHEQUE DONATIONS

If cheque donation was received, please complete the following section.

Date on Cheque:

Cheque Number:

TICKET DONATIONS

If a ticket donation was received, please complete the following section.

Ticket Value #1:

#Tickets	Ticket Value	Total

Ticket Value #2:

#Tickets	Ticket Value	Total

Ticket Value #3:

#Tickets	Ticket Value	Total

OTHER IN-KIND DONATIONS

If other in-kind donations were received (ie. sporting equipment, prizes, etc.), please complete the following section.

Description/Date of Event:

Description of Donation: