IN-KIND DONATIONS FORM

Please have the donor complete this form by either printing out the Downloadable PDF and having them fill it out, or submit the online form below. 

The online form will automatically be submitted to donate@projecthealingwaters.org. If you printed the form, you can either mail the completed form to the address below, or email a scanned copy to donate@projecthealingwaters.org.

PO Box 695
La Plata, MD 20646

Download Printable Form Here:
ONLINE FORM

In-Kind Donation Form

Individual Donor or Company Point of Contact
Address
MM slash DD slash YYYY
Donor Optional Section:
Type name here to sign

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