The Pink Agenda 2026 In-Kind Donation Form

Please provide a complete and specific description of each donated item or service.

All values entered must reflect the TOTAL value of the full quantity donated, not a per-unit value.
This information will be used exactly as entered in generating your tax acknowledgement letter.

Donor Name*
(Please print your name exactly as you wish it to appear)

Contact First Name*
(If different from above)

Contact Last Name*
(If different from above)

Title*

Company*

Address*

City, State, Zip*

Phone Number*

Email address*

The Following Professional Services and/or Product Donations were given to The Pink Agenda for the fiscal year period January 1, 2026 through December 31, 2026.
Event Donated to *

Please list Chapter City*:

Product Donation or Professional Service Description*:
(Please give a thorough description with as many details as possible, including quantity, blackout, expiration dates, and/or restrictions)

Suggested Retail of Goods*:
(Enter the TOTAL value of all items or services donated, reflecting the entire quantity listed above. Do not enter per-unit values. Please only include a numerical value. Do not include letters or symbols.)

Actual Cost of Goods *:
(Enter the TOTAL cost incurred by the donor for the full donation, not per item. For Internal Tax Purposes Only. Please only include a numerical value. Do not include letters or symbols.)

Were any goods or services given in return for this gift (i.e. Tickets, Dinners, Merchandise,Etc.)?
Please describe:

Solicitor*:

I confirm that the description is complete and that all values entered reflect the TOTAL value of the full quantity donated, not per-unit pricing.

Donor Signature*:

Date*:

For any questions, please reach out to donations@thepinkagenda.org with the event name in the subject line.

Thank you for your donation to The Pink Agenda!