Community Donations

Community Donation Request Form
Organization:
Contact Person:
Address:
City:
State:
Zipcode:
Phone:
Email:
Website:
Facebook URL:
Twitter Name:
Are you a 501C3?:
I will promote the event in at least 2 of the ways described in getting the word out:
I cannot promote the event in getting the word out but can promote the event as follows:
I have the authority to request this funding event for my organization and approval to promote it in the ways described: