NON-MONETARY

GIFT DONATION/ACCEPTANCE FORM

The Blue Ridge Community College Educational Foundation, Inc. has been established to accept all gifts on behalf of the College. Please complete or verify the information on the following form and return to the Blue Ridge Community College Educational Foundation, Inc., P.O. Box 80, Weyers Cave, VA 24486. Please ship items to One College Lane, Weyers Cave, VA 24486.

I would like to give the following to Blue Ridge Community College:

Donor/Company Name:                    

Company Contact & Title:   

Address:                                             

Phone:                                                

Item:                                                  

Description:                           

Condition:                              

Restriction (if any):               

*Approximate value:             

Donor’s signature ___________________________________ Date _________________

*As used herein, this figure represents the approximate value as provided by the donor. The Foundation nor the College assume any responsibility for the value as provided on this form.

Please return this form within one week to the Foundation office so we may

include your contribution in any printed materials.

Location where donation assigned:                 Veterinary Technology Haiti Project

I accept the item(s) described for B.R.C.C.

                                                            _________________________________________

                                             Blue Ridge Community College

                                                                           President