Venture Communication Community Program
Donation Request Form
To be considered for a charitable donation, please complete the form below. Please enter as many details as possible.
Organization (If applicable)
Street address:
Street address line 2:
City:
State:
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip code:
Contact Person
First name:
*
Last name:
*
Phone number:
*
Please include area code
Email:
*
Best time to reach you?
*
Morning
Afternoon
Evening
Anytime
What is the best way to reach you?
*
Email
Telephone
Both
Have you applied for a Venture Community Donation for your organization in the past?
Yes
No
Tell us how Venture Communications Community Donation will help you....
*
Description of need
What is the total cost of the project, how many members of your community will it affect and will there be other funds generated locally?
*
Description of need
Requested Amount
*
When/Where will the event take place? (if applicable)
(If Applicable)
When do you need to receive the donation?
-
Month
-
Day
Year
Date Picker Icon
What specific benefits/outcomes will be realized with this donation?
Would you be willing to provide photos or a short story regarding the outcome of Venture's donation for use on our social media and our website?
Yes
No
Note: Please be advised that the Donation Request Forms should be submitted to the marketing supervisor for review. Any donation amount that is less than $2,000 will be processed on a weekly basis. If the requested amount is greater than $2,000 but less than $10,000, approval will be sought monthly from our board. Requests over $10,000 will be considered by a special committee first, then those approved applications will be presented to the board, this approval process will happen at the end of the year.
Please verify that you are human
*
SUBMIT FORM
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