<p>“In Kind Gift” report form </p><p>This form allows call makers to receive credit toward membership.</p><p>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.</p><p>______Call Maker’s Signature</p><p>Name:______</p><p>Address:______</p><p>______</p><p>City:______State: ______Zip:______</p><p>Phone: ______</p><p>E-mail:______</p><p>National Convention Donations: State or Local Chapter Donation</p><p>Year Amount Year Amount ______</p><p>TOTAL ______TOTAL ______</p><p>PLEASE RETURN TO: NWTF Attn: Karen Cavender, P.O. Box 530 Edgefield, S.C. 29824</p><p>******Form must be returned and received at headquarters no later than January 13, 2017.</p><p>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.</p>