Date:

Name:

Address:

City

State

Zip Code

Description

Number

$ value for receipt

New or handmade items donated:

Clean, gently used items donated:

Items made with Bundles of Love supplies:

N/A

N/A

Description

Number / weight*

$ value for receipt

Other items donated: (i.e. yarn, fabric,

baby care items, office supplies)

Total:

Estimated number of volunteer hours