Donation Request | Wyoming State Bank

Donation Request

Date*
MM
DD
YYYY
Contact Information
Name of Organization*
Contact Person*
Tax ID Number*
Address*
Street AddressAddress Line 2CityStateZip Code
Telephone number*
Website (if applicable)
Email*
Request Information
Date Funds Needed*
Amount Requested (Do not include symbols)*
Describe your request here:*
Upload any supporting documents here
Organization's Mission Statement*
Are you a 501C3 organization?*
- Yes
- No
Do you or your organization have a current relationship with Wyoming State Bank?*
- Yes
- No
If yes, what name is it under?
Has Wyoming State Bank received a request from you in the past?*
- Yes
- No
If yes, when?
Previous amount requested:
Did Wyoming State Bank fund that request?
- Yes
- No
How will your organization benefit from this sponsorship?*
How will this sponsorship benefit the community?*
How will Wyoming State Bank be recognized for this sponsorship?*
(i.e. advertising, banners, name recognition - verbal/logo use, table at event, etc.)
Additional comments
**Publicity - Wyoming State Bank reserves the right to publicize any contributions made and would also appreciate efforts made by beneficiaries to publicize our dedication of reinvesting in the communities that we serve. We welcome recipients of donations to submit news releases and organize photo opportunities for the press. A copy of the press release should be shared with Wyoming State Bank prior to publication.

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