The Kallah Project of South Florida
In-Kind Donation Form
Donor Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Item(s) Donated Description
*
Donation Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: