In-Kind Donation Form - MACCThank you for your interest in supporting Mother and Child Charity (MACC) with an in-kind donation. Please complete the form below to let us know what items you are donating. For guidance or questions about accepted donations, contact us via email: info@motherandchildcharity. Please enable JavaScript in your browser to complete this form.Donor Information:Name *FirstMiddleLastEmail *EmailConfirm EmailPhoneAre you donating as: Individual Business / OrganizationCompany / Organization Name *Website / URLAuthorized Representative Name *FirstLastAuthorized Representative Title *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDonation Guidelines What type of contribution would like to offer?Physical goods(Tangible items)Gift cards / Rewards / Points / Travel relatedOther contributionYou may select more than oneDropdownFirst ChoiceSecond ChoiceThird ChoicePhysical goods related contributions New items in bulk quantity ElectronicsOffice / School suppliesMedical suppliesEquipment VehiclesOther (please specify)Describe the physical goods are you offering?Include item type, quantity, and confirmation that items. Please provide details about the bulk items you want to donateInclude item type, quantity, packaging (cases or pallets), and any expiration dates, if applicable.We can not accept: used clothing, shoes, accessories, expired non-perishable food items or religious items. Gift cards, Rewards, Points and Travel Related ContributionsGift cardsAirline milesHotel loyalty pointsCredit card or rewards program pointsEvent or experience ticketsTravel related contributions Other rewards or points (please describe)Type of Gift card VendorVisa / MastercardAmazonGrocery storeDepartment storeGas stationOther (Please specify)Provide number of cards, total USD amount per card, expiration date, restrictions/ notes.Provide details about the gift card(s) you want to donateNumber of cards, total USD value, USD amount per card, expiration date, restrictions/ notes. Provide details about the airline miles you want to donateInclude the airline program name and an approximate number of miles, if known.Provide details about the hotel loyalty points you want to donateInclude the hotel loyalty program name and an approximate number of points, if known.Provide details about the rewards or points you want to donateInclude the rewards program name and an approximate number of points, if available.Provide details about the tickets or experiences you want to donateExamples include: theme park, concerts, sporting events, theater, or other experiences. Include the event name, experience type, location, date (if applicable), and quantity of tickets.Provide detail about the travel related you want to donateFor example: airfare, accommodations, or travel experience. Public transportation passes or credits (bus, metro, rail, ferry, ride share credits (Uber/Lyft-style programs).Provide detail about other rewards or points your donation Type, value, quantity, Additional messageGift Cards / Points / Miles / Rewards *I confirm these are valid, not expired, and transferable.By submitting this form, I confirm my donation is final, I consent to MACC's Privacy Policy, I understand recognition may be shared with permission, items donated meet required condition, and any points/ miles donation will be processed according to MACC's procedure. I agree to be contacted by Mother and Child Charity, INC. (MACC) regarding my submission.MessageSubmit