Avon Foundation: Walk for Breast Cancer, Need for Speed Relay: Survey

Tax Receipt Request

Thank you for your support of the Avon Walk for Breast Cancer. If a donation was made online, a receipt was issued via email at the time of the donation. For donations of $250.00 or more that were made "offline," receipts will be issued by the Avon Foundation at the end of January. For lesser amounts, a cancelled check or credit card bill is sufficient under current tax law.

If an email receipt was misplaced for an online donation, please include the details below so we may issue a replacement receipt. Include the name of the donor, name of Walker supported, clarification of which Avon Walk city (Boston, Charlotte, Chicago, DC, Houston, LA, NY, Rocky Mountains, San Francisco), the donation amount and date or approximate date of donation.

Thank you for being our partner in the fight against breast cancer.

*1.

Question - Required - First Name:

*2.

Question - Required - Last Name:

*3.

Question - Required - Address:

*4.

Question - Required - City:

*5.

Question - Required - State:

*6.

Question - Required - Zip Code:

*7.

Question - Required - E-mail Address:

*8.

Question - Required - Daytime Phone Number:

*9.

Question - Required - Walker's Name:

*10.

Question - Required - Donation Amount:

*11.

Question - Required - Payment Type:

*12.

Question - Required - Event City:

*13.

Question - Required - Approximate Date of Donation:

Month

Day

Year

*14.

Question - Required - What is the reason you are requesting an additional tax receipt? Did not receive original donation confirmation in email
Misplaced or did not print donation confirmation from email
Made an offline donation of less than $250
Misplaced mailed receipt for offline donation of over $250
Other (please explain below)

15.

Question - Not Required - Comments:

Avon Walk for Breast Cancer goes to great lengths to protect the confidentiality and integrity of any personal information you share with us over the Internet.

Avon Walk for Breast Cancer treats personal data such as credit card information as critical assets that must be guarded at all times against loss and unauthorized access. To ensure the security of credit card and personal information, this Web site employs industry-standard security methods, including the Secure Socket Layers (SSL) protocol for the encryption of transmitted data.

Tax Receipt Request

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