Trivia Donation Contract Donations to the Academy of the Sacred Heart are Tax Deductible. Tax ID: 43-0662494. Donor/Company Name* Authorized by* Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxEmail* Please list the Donor's name as:* Same as above Friend of the Academy (if you prefer annonymity) Item Donation*ItemDescriptionFair Market Value Estimate ItemGift Certificate Click "+" to add rows, click "-" to remove them. If applicable, please indicate quantity, size, color, brand, restrictions, exclusions, dates, etc. in the DescriptionDelivery / Pickup* I will deliver these items (specify date below) Please pick up these items (specify location and date below) Delivery Date* MM slash DD slash YYYY Pickup Date* MM slash DD slash YYYY Pickup Location* Tax Receipt* Yes (tax receipt will be mailed to you at a later date) No (decline tax receipt)
