Community Support Request

Organization Name *

Tax ID

Do you have 501(c)3 non-profit certification? *

Yes

No

Contact Name *

Title *

Organization address *

Organization address

City

State/Province

Zip/Postal

Phone *

Fax

E-mail

If this is your first donation request to GTel, please describe the purpose of your organization and its primary beneficiaries *

Program/event *

Event date

Is there a print deadline or date that you need response regarding sponsorship? *

Yes

No

What is the deadline? *

Do you need GTel logos or Ads? *

Yes

No

Please specify ad requirements *

How many people are expected at your event?

What towns/cities/counties will be served?

Please describe the nature and purpose of your program and event.

Has GTel donated to your organization in the last 12 months? *

Yes

No

What would you like GTel to donate to this program/event? (Be as specific as possible.) *

Has GTel donated to this specific program/event in the past? *

Yes

No

Our customers like to know how we support our community. How will GTel be recognized as a sponsor of the organization/program/event? *

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