Operation Smile Supply Drive Donation Form Inventory Form

Operation Smile Supply Drive Donation Form Inventory Form / Packing List THANK YOU! Your efforts on our behalf are greatly appreciated. We would like to accurately record your donation. Please provide the following information: Contact person and Title: ______________________________ Address: _______________________________ City, state, zip: _______________________________ Phone: _____________ Other phone: _____________ Email: __________________________________ Item Quantity 3641 Faculty Boulevard ■ Virginia Beach, VA 23453 ■ 757. 321. SMILE (7645) ■ Fax 757. 321. 7660 ■ www. operationsmile. org ■

Item Quantity Total Estimated Dollar Value of Donation: $ Please enclose this form on the top of each box and send to: Operation Smile Attn: Warehouse 3641 Faculty Blvd. Virginia Beach, VA 23453 Make two copies and keep one for your records. 3641 Faculty Boulevard ■ Virginia Beach, VA 23453 ■ 757. 321. SMILE (7645) ■ Fax 757. 321. 7660 ■ www. operationsmile. org ■

Operation Smile Please send your donation of Child Life Therapy Supplies, along with the completed inventory form to: Operation Smile Attn: Warehouse 3641 Faculty Blvd. Virginia Beach, VA 23453 Make copies of the blank form and include one inventory sheet per box. Include only those items in that package. Please place this inventory sheet on TOP of contents NOT in the bottom of the box. Shipments of multiple boxes should be numbered: 1 of 3, 2 of 3, 3 of 3. Please be sure to fill out the inventory sheet for each package, with your contact information. Please keep copies of your inventory sheets for your records. Thank you! Your support of Operation Smile is greatly appreciated. Our partnership with Stryker is special and you are helping thousands of children around the world with these efforts. 3641 Faculty Boulevard ■ Virginia Beach, VA 23453 ■ 757. 321. SMILE (7645) ■ Fax 757. 321. 7660 ■ www. operationsmile. org ■