Charitable Donation Request
Company Information
Name of Organization
*
Organization Website
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
EIN/Tax ID #
*
501 (c) (3) Status (since)
*
-
Month
-
Day
Year
Date
Upload Copy of 501 (c) (3)
*
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Contact Information
Contact Name
*
Title or Relationship to Organization
*
Contact Email Address
*
example@example.com
Contact Phone Number (if different)
Please enter a valid phone number.
Format: (000) 000-0000.
Previous Support
Has the organization received support from WeatherTech before?
*
Yes
No
When?
*
-
Month
-
Day
Year
Date
Amount or Item(s) Received
*
Requested Support
Program or Event Name
*
Date of Program or Event
*
-
Month
-
Day
Year
Date
What are you looking to receive from WeatherTech?
*
Promotional Item(s)
Sponsorship
Partnership
Monetary Donation
Other
How will the funds or item(s) be used?
*
0/750
Area/Community the program will serve
*
City, State
Signature of Applicant
*
Submit Request
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