Please fill out the form below. We will send you a receipt after approval of your request. Your Name* First Last Email* Your Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Donation* Date Format: MM slash DD slash YYYY Donated Items* The IRS does not allow us to include a value on the receipt. You will place a value on it independently of the receipt. You may be as general or as specific as you like in listing your donations. Most folks do something like this: 3 bags of shoes, 2 bags of clothing and 1 bag of linens. However some folks list each individual item noting sizes, brand names, etc.EmailThis field is for validation purposes and should be left unchanged.