community giving request form - Enerquip Thermal Solutions

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This field is for validation purposes and should be left unchanged.

Organization Information

Name of organization*

Address of organization*

Address Line 1 Address Line 2 City State ZIP Code

What is the focus of your organization?*

Contact Name*

Phone*

Email*

What is the request for?

Name of event or program

Date of event or program

Type of donation or sponsorship request

If a cash donation, amount requested

How would the donated item or funds be used?

How many people will directly benefit from the event or program?

What communities or counties are being served by the event or program?

How does your organization recognize donors?

Upload event or program flyer

Max. file size: 64 MB.

Provide any additional information or comments.