USDA In-Kind

Thank you for your support for Cultivate. Please complete the form so Cultivate can submit to the USDA that your organization has completed your inkind support. The email that we sent to you will have the description of services that you pledged and the value of the inkind service that you pledged.

Organization

Todays Date

Reporting Period

July 2023 Through June 2024

Value of Inkind services provided this period *

Description of Inkind Services Provided

First Name *

Last Name

Signature

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