Donation/Sponsorship Request Form

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Thank you for thinking of WESTconsin Credit Union to assist you with your efforts. WESTconsin earmarks money each year for civic, youth and charitable organizations and events in the communities we serve. It is important for us to weigh our decisions carefully. In order to keep our credit union financially strong in the current economy, we, like other businesses, have to watch our expenses carefully. Please complete and submit this form at least 2 WEEKS PRIOR to your event and your local office will get back to you with a response.

Please complete the form as best as you can. Thank you.

Country *

Organization Type *

State/Province

Please fill out any missing organization information below.

Organization Name *

Tax ID If you know the Tax ID it will speed up the processing and verification of your request.

Alternate Name *

Is there a different name, DBA or chapter?

Year Established

National Taxonomy of Exempt Entities (NTEE) Code *

Mission Statement *

Org Contact First Name *

Last Name *

Title with the Organization *

Organization Address *

City *

State/Province *

Zip/Postal Code *

Primary Organization Email *

Primary Organization Phone *

Website *

Principal Individuals and Board Members *

The person completing this form who wishes to receive email updates should be entered here

First Name *

Last Name *

Email Address * (a verification email will be sent to the email above to ensure that you are able to receive emails for this request and also any future communication on the status of the request. Please click "Send Email Verification", if you did not receive the Verification email from DonationX.org. You might want to check your spam folder or try a different email address)

Email Verification Code *

Primary Phone *

Cell/Other Phone

Title/Relationship to Organization *

Classification *

Request Details

Event/Project Name *

Project Start Date *

Cash Amount Requested *

Shipping Options

Address to where donation should be mailed (If possible, please provide a commercial mailing address)

Address Type

Address *

City *

State/Province *

Zip/Postal Code *

Country *

Attachment (optional): Add any additional files that may be helpful for this request

(Click on Upload File button to attach multiple documents. The files should be selected from a folder on your computer. The files will be listed under the attachment box. Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 10MB.)

Comments

I confirm that I am 14 years or older

* Denotes required fields

This form will expire after 2 hours. You may save as draft after completing a few key details.

A DonationXchange account will be created and provided in the confirmation email for tracking purposes.

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Donation/Sponsorship Request Form

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