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Donation Receipt
VLP – Pet Food Program
VLP Thrift Shop
Donation Receipt Form
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Name
*
First
Last
Email
*
Phone
*
/ Phone Jackets
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
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District of Columbia
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
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West Virginia
Wisconsin
Wyoming
State
Zip Code
Donation Items
Please document your donation items and their estimated value below
Shirts
Price:
$50.00
0
1
2
3
4
5
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7
8
9
10
Shirts, Blouses and Tank tops
Pants
Price:
$50.00
0
1
2
3
4
5
6
7
8
9
10
Jeans, Sweats, and Leggings
Jackets
Price:
$50.00
0
1
2
3
4
5
6
7
8
9
10
Jackets, Sweaters, Hoodies, Puffers
Shoes
Price:
$50.00
0
1
2
3
4
5
6
7
8
9
10
Shoes, Sneakers, Heels, flats
Electronics
Price:
$100.00
0
1
2
3
4
5
6
7
8
9
10
Speakers, Record Players, Audio, Video, Computers, Game Consoles
Total
Order Summary
Item
Quantity
Qty
Total
There are no products selected.
Shirts
0
$0.00
Pants
0
$0.00
Jackets
0
$0.00
Shoes
0
$0.00
Electronics
0
$0.00
Total
$0.00
$0.00
Date / Time
*
Date
Time
Signature
*
Clear Signature
Submit