Donation Request Form

Donations Request Form 2026

Organization Information

Organization Name: *

Mailing Address: *

Phone Number: *

Contact Person & Title *

Email Address: *

Is your organization a 501c3 (nonprofit)? *

Yes

No

If approved, make check payable to: *

Donation Request Details

Type of Request: *

Donation

Sponsor

Other

If "Other" (please describe)

Amount or Item Requested: *

Date Needed (should be at least 3 weeks from today) *

If we've supported you before, please share how:

Purpose of Donation (please share how this donation supports community service, education, or financial well-being): *

Who would benefit from this donation? (number of people, demographics, or community served): *

Would the Credit Union be recognized for this donation? (logos, event materials, website, social media, banners): *

If Credit Unio employees are invited or encouraged to participate, how best should that occur?

Name of person turning in request *

Today's Date *

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