Sponsorship And Donation Request Form
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1
2Sponsorship and Donation Request Form
Security National Bank asks that all organizations requesting donations/ support complete this form. We ask that your
request be submitted 3 weeks in advance for consideration. Completion of this form does not guarantee that Security Bank
will be able to fulfill your request. Please print.
Date of request
Deadline
Has Security Bank participated in the past? How?
Applicant Details
Organization
Contact Name
Phone Number
Mailing Address
City, State, Zip
Email
Website
Is organization a bank customer?
501(c )(3)?
If yes, please provide tax id #
Yes
No
Request Details
Check Payable to
Amount requested
I am requesting (check all that apply)
If an Ad is needed, please provide all of the following
Sponsor Event
General Donation/ Money
Artwork due date: _____________________________________________
Banner
door prize
Artwork dimensions (W X H): ______________________________________
promo items
In-kind donation__________
Is the ad in Color or B&W?______________________________________
_____________________________
___________________
File type? (pdf, jpeg, etc.):________________________________________
Briefly describe who/ what the organization serves:
Briefly describe the event/ project:
Please describe all of the sponsor benefits - how or if the bank will be recognized for this donation.
Please list any bank employees involved in the organization. How are they involved?
Internal Use Only
Donation Amount
GL
Signed
Additional Comments
Please return to any Security National Bank Office, attn: Marketing
Please Attach any flyers or other forms associated with the request
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Parent category: Business