AEP Non-Cash Donation Form
Who is filling out this form?
Please select...
Exchange Manager / AEP Volunteer
Donor
Session Information
Which AEP Exchange is this donation for?
Session ID
Exchange Manager Name
Exchange Manager Email
Exchange Manager Google Voice
Exchange Manager ID
Donor Information
Donor Type
Please select...
Individual
Company
Organization
Other
Other
Donor Name (as filed to IRS)
Donor/Organization Primary Contact Information
First Name
Last Name
Title
Address
City
State
Zip Code
Email Address
Type of Email Address
Please select...
Personal
Business
Phone Number
Gift Information
Donation Type
Please select...
Vehicle Use
Gift Card(s)
Physical Item
Facility/Event Venue
Service
Brief description of the in-kind contribution
Estimated fair market value of the in-kind contribution
Are there any gift restrictions?
Please select...
Yes
No
Please describe
How will the item be received? (pickup, drop off, email, etc.)
AEP is welcome to share my donation in newsletters, promotions, social media, etc.
I would like my donation to be anonymous
Please note you will receive your donation receipt via email after the close of your town's local Exchange.
Contact Information