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REQUEST FOR DONATION
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REQUEST FOR DONATION

FOR OTHER FUNDING

                                            

 

Organization requesting funds:

 

Name:   ___________________________________________________________­­­­__________________

 

              _____________________________________________________________________________

 

Telephone number: ____________________________________________________________________

 

Website: _____________________________________________________________________________

 

E-mail address: ________________________________________________________________________

 

Federal Tax I.D. Number: ________________________________________________________________

 

Contact Person: _______________________________________________________________________

 

Contact information (if different from the organizations’): 

 

Telephone number: _____________________________________________________________________

 

E-mail address: ________________________________________________________________________

 

Date of Event: _________________________________________________________________________

 

Amount Requested: ____________________________________________________________________

 

Commitment or Funds Needed by:  ________________________________________________________

 

By signing the request for funding below, I acknowledge that this organization is recognized by the Internal Revenue Service as a qualified tax-exempt organization under section 501(c)(3) of the IRS Code.

 

Date:    _______________________       

 

Authorized agent of requesting organization:

 

Name:   __________________________________ Signature: ___________________________________

 

E-mail this form and a separate page explaining the purpose of the donation and information about the organization, if applicable, to ____________________________________.  Be detailed and include a budget for the event or project, and indicate other funding sources, if any.

Download here: Online_Donation_Request_Form.pdf

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