Donation Request
How can we help?
Organization Name
*
Type of Request
*
Please Select
Grant
Sponsorship
Other
Date Needed By
*
-
Month
-
Day
Year
Amount Requested
*
Is your request for an event?
*
Yes
No
Project Name
*
Event Name
*
Event Date
*
-
Month
-
Day
Year
Event Venue
*
Venue Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How would this donation be used?
*
Who would this donation benefit?
*
How many people would this donation benefit?
*
Would this donation primarily benefit low-income individuals?
*
Yes
No
What percentage of beneficiaries would be low-income?
*
What benefits would the bank receive from this donation?
*
Advertising
Dinner Attendee
Tickets
Other
None
Describe if Other
*
How much of this sponsorship would be used to cover benefits received by the bank?
*
e.g., meals, golf round, tickets, advertising, etc.
Please attach any additional support documentation.
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Does your organization have a need for any of the following?
*
Board members
Financial education workshops
Service projects
Other
None
Further explain these needs and how Western Security Bank might help meet them.
*
Submitted By
*
Position/Title
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Submit
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