1. Fun Fest 2010, Let the Reading Begin!
A Collaboration of the United Way of Calvert County's Success By 6 Initiative,
Calvert County Public Schools, and the Interagency Council for Children and Families.
United Way of Calvert County Donation(s) Due: Friday, April 9, 2010
Contribution Monetary In Kind Services
Name of Contributor: Date:
Agency/Company Name:
Address:
Phone: Fax:
Phone #2: Email:
Monetary Contribution
Amount: Cash Check # _______ Other
In Kind Supplies/Equipment
Materials & Supplies: $
(Description of
Donated Material)
Equipment: $
(Description of
Equipment)
Donated Services
Date of Service Services Hours of Service Value Per Hour Value of Service
Total Value $
Receipt of the In Kind Contribution described above is hereby acknowledged by the undersigned authorized employee.
Donor Signature: Date:
Employee Signature: Date:
UW Office Use Only Contact Donation Received Initials Signature Date Complete Date Archived Initials
The United Way of Calvert County 410.286.0101, phone
530 Main Street, P.O. Box 560 Federal Tax ID #52-1181917 410.535.8987, fax
Prince Frederick, MD 20678 www.unitedwaycalvert.org