Record Income Please only use this form for donations, not non-deductible payments, such as event or conference payments. Who submitted the donation?*IndividualCompany or corporationAnother non-profit organizationIndividual Donor InformationDonor Name*Please add the name on the check. First Last Donor Emailif you have access to donor email, please add it here. Enter Email Confirm Email Donor Phoneif you have access to donor phone, please add it here.Company, Corporation, or Non-Profit InformationEntity Name*Please submit the name of the entity making the donation.Primary ContactPlease provide the primary contact for the organization. First Last Primary Contact Emailif you have access to email address for primary contact, please add it here. Enter Email Confirm Email Primary Contact Phoneif you have access to the primary contact's phone number, please add it here.Income TypeIncome Type*Please select the method of income.CheckDirect DepositCash AppPaypalCashDeposit Amount*Deposit Date*Please enter the date the deposit was made by the donor, not the day it was deposited. Date Format: MM slash DD slash YYYY Check InformationAddress*Please add address found on check. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Check Number*Check Verification*Please photograph check for records.Direct Deposit InformationDirect Deposit Source*BankFacebookVerification of Direct DepositIf you have access to a verification of a direct deposit, such as an email, please attach the verification here. Cash App DonationTransaction ID*Cash Tag or Identifier*Please add the cashtag ($username) or phone number or email associated with the donor's account. Cash App Processing Fee*Paypal DonationTransaction ID*Paypal Identifier*Please add the phone number or email associated with the donor's account. Paypal Processing Fee*EmailThis field is for validation purposes and should be left unchanged.