Sponsorship / Donation Request Form

Please review the donation policy page for criteria. Incomplete requests may result in denial. Please allow four (4) weeks in advance for our review process.

Application Date (mm/dd/yyyy)

Contact Information

Contact Full Name Phone Number Mailing Address City State Zip Code E-mail

Group Information

Name of Group Website

Is this a Non-Profit? Yes No

Please Explain

Have you received funds from BANK OF 1889 in the past? Yes No

Do you or your organization have an account relationship with BANK OF 1889? Yes No

Event Information

Name of Event Date of Event (mm/dd/yyyy) Deadline for Donation/Items City/Location of Event or Donation Amount or Item Request Purpose / Goal Description How does this request benefit the community? How many will benefit from this contribution?

Is a logo needed? Yes No

Email to:

Logo Format Jpeg PDF

Is a printed ad needed? Yes No

Dimensions

Print Ad Details Black and White Full Color

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