Today's Date*

Date your donation/sponsorship is needed*

Name of your organization*

Contact Name*

Title

Email*

Phone*

Mailing Address*

What type of donation or sponsorship are you requesting?

What type of donation or sponsorship are you requesting?
Monetary donation/Sponsorship amountIn-Kind donation (raffle basket, promotional items)Volunteers (Our employees love giving back to the community. We will post your volunteer requests for our team members.

If requesting volunteers, please list how many volunteers you need, dates and timeframes needed and tasks/projects you need help with.

OTHER IMPORTANT INFORMATION*

Who or what will benefit from this donation? (ex: environment, scholarships for high school students, cancer research, purchasing new equipment)

EVENT INFORMATION

Event Name

Event Date

Event location

Expected Attendance

How will donors be recognized?
RadioSocial MediaWebsitePostersBanner or SignageEmail Campaigns or NewsletterVerbal MentionsT-ShirtsPress ReleaseCommunity CalendarsOther:

PAYMENT INFORMATION

Additional info to include?

You're welcome to submit any supporting information along with this form (ex: event flyer, donation letter)

Additional file to upload (if needed)