Gift in Kind Donations

Gift in Kind Donation Request

Has your department recieved donation of eqiupment for your department?
Fill out the form below and FVHCF can send a tax receipt to the donor.
Any questions please contact us at 604 851 4890 or email us

Your Details

If other, please specify location

Name *

First

Last

Department

Phone

Email *

Gift in kind donation details

Date of donation *

Description of equipment to be donated *

Receiving department and site *

Assessed value *

Please provide appraisal from 3rd party (ex: assessment from medical supply store)

Click or drag a file to this area to upload.

Donor's name *

First

Last

Please provide donor information so we can provide a tax receipt.

Donor's address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Donor's phone number *