Donations – Check – Dancers' Group

Fiscally Sponsored Project Name*

Fiscally Sponsored Project Email*

You will receive a copy of the submitted form.

How will you deliver the check(s) to Dancers' Group?*

Mailed
Drop off in person

How many Check Donations are you submitting?*

If you have more than 3 check donations to process, please fill out additional forms.

1
2
3

Details for Donation #1

Name on check*

Do you have an email address for Donor #1?*

Yes
No (A mailing address will be required)

Donor's Email*

Donor's Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Check #*

Donation Amount*

Did this donor receive a good or service for donation #1?*

e.g. tickets to a show. If you have questions about this please call us at: (415) 920-9181

Yes
No

Description of good or service & estimated cash value*

Why do we ask this? Dancers' Group needs to know if you provided goods or services for this donation. For example, if a donor gives $100 to a nonprofit and receives show tickets valued at $40, the donor may only claim a deduction of $60.

Details on Donation #2

Name on check*

Do you have an email address for Donor #2?*

Yes
No (A mailing address will be required)

Donor's Email*

Donor's Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Check #*

Donation Amount*

Did this donor receive a good or service for donation #2?*

If you have questions about this please call us at: (415) 920-9181

Yes
No

Description of good or service & estimated cash value*

Details on Donation #3

Name on check*

Do you have an email address for Donor #3?*

Yes
No (A mailing address will be required)

Donor's Email*

Donor's Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Check #*

Donation Amount*

Did this donor receive a good or service for donation #3?*

If you have questions about this please call us at: (415) 920-9181

Yes
No

Description of good or service & estimated cash value*

Additional Comments

Name

This field is for validation purposes and should be left unchanged.