SNBT Charitable Contribution Form
Name of Person Submitting Request
*
First Name
Last Name
Due Date
*
-
Month
-
Day
Year
Information, Funds, Ad, etc.
LEGAL NAME of Organization & DBA (if applies)
*
(NO ACRONYMS)
Is the Organization a 501c3?
*
Yes
No
Federal ID Tax Number
If you have a Federal ID Tax Number, this is REQUIRED
Organization's Main Phone Number
*
Please enter a valid phone number.
Organization's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization's Main Contact Person
*
First Name
Last Name
Email for Main Contact
*
example@example.com
Phone Number of Main Contact
*
Please enter a valid phone number.
Ext.
Provide a Description of Your Organization, Including Its Mission
*
0/20
Provide a Short Description of Notable Programs/Services Provided By Your Organization
*
0/20
What is the Primary Purpose of This Request/Who Will It Benefit:
*
Affordable housing benefiting low/moderate income individuals
Community services for low/moderate income individuals
Activities that revitalize or stabilize low-income geographies
Community services for low/moderate geographic areas
Activities that support a federally declared disaster area
Activities that support economic development
Other
What are the income guidelines used by your organization for low to moderate income?
*
0/20
Select the Area(s) This Investment Benefits:
*
Brown Co.
Marinette Co.
Marquette Co.
Menominee Co.
Oconto Co.
Other
Are You Requesting a Sponsorship, Donation, or Ad?
*
Sponsorship - A “Sponsorship” is a partnership negotiated with another organization for marketing purposes (e.g., events, sports teams, community concerts). A logo or ad is usually displayed in return for this sponsorship.
Donation - A “Donation” is strictly defined as funds given to an organization for which a tax receipt is issued (e.g., events, supplies, equipment).
Ad - An "Ad" is specifically designed by SNBT for distribution (e.g., programs, brochures, yearbooks, calendars, newsletters).
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You are Requesting a SPONSORSHIP
Requested Dollar Amount
*
What Percentage of this Donation Will Go Directly to the Cause?
*
Make Check Payable to:
*
What Type of Sponsorship
*
Sports Team
Public Event
Golf Event
Organization
Other
Will Our Logo Be Displayed? (If yes, SNBT will provide the logo file)
*
Yes
No
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Where will the Ad be Placed?
*
Sign, Brochure, Jersey, etc.
Ad Size Dimensions
*
e.g., 4.5" x 2.5"
Provide a Brief Description of Your Ad Request
*
0/20
File Type of Ad Requested
*
PDF
EPS
JPG
Other
Do you Want the Ad in Color or Black & White?
*
Color
Black & White
Email Address Where to Send the Ad
*
example@example.com
Optional: Submit Ad Request Document
Browse Files
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You are Requesting a DONATION
Requested Dollar Amount
*
What Percentage of this Donation Will Go Directly to the Cause?
*
Make Check Payable to:
*
Is this Donation for an Event?
*
Yes
No
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What Will the Donation go Towards?
*
Supplies, Equipment, etc.
0/20
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What Will the Donation go Towards?
*
Event Supplies, Equipment, etc.
0/20
Name of Event and Brief Description
*
0/20
Date of Event
*
-
Month
-
Day
Year
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You are Requesting an AD
Where will the Ad be Placed?
*
Sign, Brochure, Jersey, etc.
Ad Size Dimensions
*
e.g., 4.5" x 2.5"
Provide a Brief Description of Your Ad Request
*
0/20
File Type of Ad Requested
*
PDF
EPS
JPG
Other
Do you Want the Ad in Color or Black & White?
*
Color
Black & White
Email Address Where to Send the Ad
*
example@example.com
Optional: Submit Ad Request Document
Browse Files
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Choose a file
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List Any Additional Information to Take into Consideration
0/50
Attach any Other Files to Take into Consideration
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Submit
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