AgState Donation Request

AgState Donation Request

AgState strives to play an active role in the communities we serve. Our goal is to make an impact in a positive and meaningful way. Our employees are active members in their school districts, local non-profit organizations, and churches. AgState recognizes that charitable giving builds a sense of purpose, strengthens community connections and builds morale for customers and employee's.

Each donation request will be reviewed and evaluated with preference given to Agriculture Education & Programing (4-H & FFA), Safety, and Community Enrichment. Donations should be submitted 4-6 weeks prior to funds being needed. Only organizations who's requests are funded will be notified.

Organization Name*

Name of Contact Person*

Street Address*

Mailing Address

City*

State*

Zip Code*

Email Address*

Phone Number*

Donation Request is for*

Project

Fundraiser

General Support

Sponsorship

Requested Amount*

If your organization is requesting promotional items to uses as gifts or prizes, please specify the quantity needed.

Category*

Safety

4-H / FFA

Youth Programming

Community

Project Description*

Recognition*

List the different ways, if any, that AgState would recieve recognition if donation request is granted.

501c3 Status*

is the donation for a 501c3 non profit organization?

Select

Tax ID #

Supporting Documents

Please attach any documents that support your request: flyers, invitations, pictures, W-9, IRS tax exempt letter.

Drag and drop files here or

Send me a copy of my responses

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