The Pink Agenda 2025 In-Kind Donation Form

Donor Name*:
(Please print your name exactly as you wish it to appear)

Contact Name*:
(If different from above)

Title*

Company*

Address*

City, State, Zip*

Phone Number*

Email address*

The Following Professional Services and/or Product Donations were given to The Pink Agenda for the fiscal year period January 1, 2025 through December 31, 2025.
Event Donated to *

If Other is selected, please list event:

If Chapter City Events is selected, please list event:

Product Donation or Professional Service Description*:
(Please give as many details as possible, including blackout, expiration dates, and/or restrictions)

Suggested Retail of Goods*:

Actual Cost of Goods *:
(For Internal Tax Purposes Only)

Were any goods or services given in return for this gift (i.e. Tickets, Dinners, Merchandise,Etc.)?
Please describe:

Donor Signature*:

Date*:

For any questions, please reach out to [email protected] with the event name in the subject line.

Thank you for your donation to The Pink Agenda!