“In Kind Gift” report form

This form allows call makers to receive credit toward membership.

I would like to receive membership credit for my donations at the National Convention and through my donations to state and local NWTF chapter banquets. The information I am reporting is accurate and correct to the best of my ability.

______Call Maker’s Signature

Name:______

Address:______

______

City:______State: ______Zip:______

Phone: ______

E-mail:______

National Convention Donations: State or Local Chapter Donation

Year Amount Year Amount ______

TOTAL ______TOTAL ______

PLEASE RETURN TO: NWTF Attn: Karen Cavender, P.O. Box 530 Edgefield, S.C. 29824

******Form must be returned and received at headquarters no later than January 13, 2017.

If you donated an item(s) at 100%, you may claim entire amount of sale on this form for each item. If you donated an item(s) at a 50/50 split, you may only claim 50% of the sale toward membership credit because you have already received 50% of the sale back.