Donation/Sponsorship Request Form

Date Requested

Organization Name

Organization Mailing Address

City

State

Zip

Organization Contact Name

Contact Title

Phone

The organization is (please mark)

501(c)3 - Please include a copy of your 501(c)3 City/Government School Other - Please describe

If selected 'Other' above please describe

Area served/population

Specific project or need that request will aid

Type of donation requested:

Monetary Amount $

Other – please explain

Date Needed

Do you require our logo?

Yes No

If yes, what format

Is this for an event? (If yes, complete the next 4 items)

Yes No

Event date

Number of people expected to attend

Type of event

If the event is to be advertised, please tell us how it will be done

Other information for our consideration

Please include copies of flyers or other information

Please select a file

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