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AFRICA-AMERICA FOUNDATION

            Product Donation Agreement
                                           (PLEASE PRINT FORM)
 


Africa-America Foundation, which is a publicly funded, and tax exempt charitable organization accepts tax deductible donations of products like (but not limited to) equipment, automobiles, clothing, fuel, materials, etc, which may be new or used but operational. The organization also accepts other products like medicines, medical supplies and equipment. Medicines must be new or unused and must have not less than one year of shelf life. Items accepted as donations may be giving to other charities or individuals in need domestically or abroad.

Africa-America Foundation would appreciate and rely on financial assistance that donors can also provide to help offset our costs associated with accepting and managing product donations, transportation, shipping and warehousing/storage. If you or your company is able to make a cash-deductible contribution to us, please submit your credit card number, attach a check or donate on line at
www.aafnet.org. All donations meet tax deductibility as applicable to a public charity. Please check you locality for other tax benefits of donating to public charity.

We would also appreciate a cash donation.


.. Enclosed (Check)
Check #              _______
Check Amount $_______

For online cash donation please go to:
www.aafnet.org Your generosity and support are appreciated!

Just follow these steps to start the product donation process:

  1. Complete this agreement.
  2. Mail or E-mail this agreement with product inventory list
  3. Mail or E-mail this agreement and your inventory list with any cash donation or contribution to; Africa-America Foundation, PO Box 230946, Astor Station, Boston, MA 02123, USA, or call 508 733 2963 or contact@aafweb.org. Somebody will contact you to arrange for product pickup or delivery.

Donor Information and Agreement

The individual, organization or company noted below promises to donate the inventory described in this agreement and on the attached inventory list to Africa-America Foundation for furtherance of its charitable, educational and scientific purposes.

--------------------------------------- -------------------------------------------------
Company Name Contact Person/Title

----------------------------------- ----------------------------------
Street Address City

------------------------------------- ---------------------------------------
State/Province, ZIP/Postal Code Country

--------------------------- -------------------------- ----------------------------------
Telephone Fax E-mail

------------------------------------------------ ----------------------------
Authorized company representative (print) Title (print)

--------------------------------- ------------------------------------------

Signature Date

B. Donation Fair Market Value: $ _________________..USD or ..Canadian

(What the recipient charity would pay for this product in the normal marketplace. This information is used to provide your company’s tax documentation.)

C. Time frame: When will your company be ready to make the donation? ___________

D. Donated Transportation: Would your company be willing to donate shipping for this donation?

.. Yes .. No

E. Distribution: Where can this donation be distributed? .. U.S. only .. Outside the U.S. only ..Globally (no restrictions) .. Specific countries (list)

F. Description: Provide a brief description of your donation and attach an inventory list and additional product information such as Web site descriptions, catalogs, etc.

Important Notice: Africa-America Foundation encourages the donation of all kinds of products. If your product donation is of a special classification, please check here ... If this box has been checked a representative from Africa-America Foundation’s donation development team will need to discuss and confirm our acceptance of the donation. Products that are of special classification which are shipped by the donor without prior approval by Africa-America Foundation will be returned to the donor and all charges incurred will be forwarded to the company for payment.

G. Hazardous Material: Please check if classified as Hazardous Materials .. Please send MSDS

Form with the Product Donation Agreement.

Please Note: If products are found to be rated HAZMAT when they arrive at our facility and you have not provided advance information by noting the products status as HAZMAT, then the product will not be accepted from the carrier.

H. Product Expiration Date (Time-Dating): Does the product you are donating have an expiration date or a time date? .. Yes .. No (medicines to have 1 year or more of shelf life)

I. Quantity: Please describe (pieces, pallets, cartons, weight, cubic feet or truck loads

J. Type of Packaging: .. Shrinkwrap .. Loose .. Pallets ..Single Unit Packs ..Mixed/Assorted Unit Packs ..Other:

K. Shipping Contact Information: If your donation’s point of origin is different than the address listed in Section A, complete this section. List a shipping contact, if different than the donor contact.

Company Name Contact Person/Title
Street Address City
State/Province, ZIP/Postal Code Country
Telephone Fax E-mail

L. If this is your first donation with Africa-America Foundation, please complete:

How did you learn about Africa-America Foundation?

Referred By Another Company (please list company name)--------------------------

Article in a publication (please list publication name)-----------------------------------

Web site (please list)------------------------------------------------------------------------------

Business Association (please list Association name)-----------------------------------

Received a Mailing From Africa-America Foundation-----------------------------------


Donated at a Tradeshow (please list Trade show)----------------------------------------

Other:---------------------------------------------------------------------------------------------------

Donated goods will be distributed by Africa-America Foundation to charities serving the ill, needy and youth; used strictly for their charitable purposes; Any goods received from Africa-America Foundation will not be used with the intention or knowledge that the products will be used to commit a terrorist act. As soon as your donation is received Africa-America Foundation will send you the documentation required for the appropriate tax deduction

Africa-America Foundation
Please Call (508) 733 2963 for shipment instructions.
PO Box 2309436, Astor Station,
Boston, Ma 02123, USA
+1 (508) 733 2963, email,  afamfoundation@aol.com
,  www.aafnet.org