| |
| |
Organization |
|
| |
Contact Person's Title |
|
| |
* First Name |
|
| |
* Last
Name |
|
| |
* Phone |
|
| |
* Email Address: |
|
| |
Charitable Tax #
(if applicable) |
|
| |
|
| |
Organization Background:
(i.e. date established, mandate, etc.) |
|
| |
Are you a member of PenFinancial Credit Union? |
Yes
No
|
| |
If yes, Account # |
|
| |
Do you operate a nonprofit
organization account at PenFinancial? |
Yes
No
|
| |
If yes, Account # |
|
| |
Branch |
|
| |
Has your organization received support
from PenFinancial in the past?
If so, please list for what and when:
|
|
| |
Amount of Donation/ Sponsorship Requested:
|
|
| |
Date of Event: |
|
| |
Location of Event: |
|
| |
When is the Credit Union donation/sponsorship
required:
|
|
| |
For your consideration, your
request must be received at least 30 days in advance
of the event or when the funding is required -
special circumstances will be considered on an
invidivual basis. |
| |
| |
Are there other ways the Credit Union
might help in lieu of or in addition to a cash
donation/ sponsorship?
|
|
| |
What will the funds requested
be used for? Provide a brief description of the
event, its goals and the purpose of funding:
|
|
| |
How does the community benefit from
this event (i.e. educational, safety, etc.)?:
|
|
| |
Support marterials are being mailed/
dropped off to the Corporate Office
|
Yes
No
|
| |
Could PenFinancial Credit Union employees
be involved in this event and if so, how?
|
|
| |
What does PenFinancial receive in terms
of recognition for the donation/sponsorship?
|
|
| |
What are the publicity plans for the
event and how will PenFinancial benefit?
|
|
| |
Are there other organizations or sponsors
involved? If so, please list them:
|
|
| |
Who and how many people will participate
in or benefit from your event?
|
|
| |
Are any staff, committee members or
board of PenFinancial Credit Union affiliated
with your organization?
|
Yes
No
|
| |
If yes, in what capacity?
|
|
| |
Please use this opportunity to note
any other information you feel would be of assistance
when considering your request.
|
|
| |
If your application is approved, please indicate who we should make the cheque payable to and the address in which to send the funds.
|
|
| |
Please type the word you see to the left in the box below it.
|

Enter word above:
|
|
|