May For Hero's Request Form

May For Hero's Request Form
Please complete the following form to be considered for May For Hero's.

The donation may be used towards equipment, programs or expenses!
- Must be a local community response team (i.e. ambulance, fire, police)
- Must be a 501 C3
If your organization is selected, a representative of Rutter's will contact you.
Submissions are open annually through April 30th.
Organization*
Tax ID (EIN)*
Please attach a W9

Browse Files

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Street address:*
Street address line 2:
City:*
State:*
Zip code:*
Contact Person
First name:*
Last name:*
Phone number:*
Please include area code
Email:*
Have you applied for a Donation/Sponsorship for your organization in the past?*

YesNo
If Yes, when?
Tell us how Rutter's Children's Charities may help your organization....*
Description of need
Requested Amount*
How much are you requesting?
Would you be willing to provide photos or a short story regarding the outcome of Rutter's Children's Charities donation for use on our social media and to share with our board?

YesNo
Should be Empty: