Community Donations

Today's Date

Requesters Name

Phone

Organization's Name

Organization's Street Address

Organization's City

Organization's State

Organization's Zip

What amount of funding is being requested?

For what purpose(s) would the donation be used?

Tell us how this donation will make a difference in your community.

Is your community request aimed at addressing hunger or improving food security?

Is there an event associated with this sponsorship/donation request?

Are there volunteer opportunities available at your organization?

Has Atlantic contributed in the past?

Yes

Are you a 501c3 organization?

IRS EIN number

Supporting Documents

Please upload any supporting documents to accompany your request. If you are a 501c3 and have access to your certification, please upload a copy.

File Upload

Drop your files here

Send me a copy of my responses

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