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.

URL

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

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.

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