Donation Request | Midwest Heritage

Request for Donation

Thank you for submitting a donation request with Midwest Heritage! Our marketing team will follow up within two business days of submission.

Name of organization/group*

Organization address:*

Organization phone number:*

Website:

Social media links:

Organization contact:*

Contact's job title:*

Contact's phone number:*

Contact's email:*

How did you hear about us?

Amount Requested*

Date funds needed

Please describe how you plan to use the requested funds*

How will Midwest Heritage be recognized for this donation?*

What impact will this donation have on the community?*

How many people will this donation impact?*

Does this organization have a current or past account relationship with Midwest Heritage? If yes, please explain:*

Is the requesting organization designated by the IRS as a 501(c)(3) nonprofit?*

Yes

Please attach any materials associated with your opportunity/request

Max. file size: 50 MB.

Fields marked with an * are required.

This field is for validation purposes and should be left unchanged.

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