ALL OF US -- Donation confirmation

Date of delivery/exchange:
Donor's Name:
Donor's address:
City, State, Zip:
Donor's phone:
Donor's email:

Donation description (including age and condition — excellent, very good, good, fair, poor — and if appropriate model type):

Estimated value:

Choose one:
 Item
 Expertise
 Services
School receiving donation:
Staff member receiving donation:

Contact me with any other questions: Randi Beckmann, 607-273-1383 or at rb229@cornell.edu