- A + * Required Fields As a member of Alpena Alcona Area Credit Union, you are invited to submit a request for charitable donations to worthy organizations and projects. This form is intended to gather sufficient information regarding the nature of the organization and the purpose of the donation to fairly evaluate the request. Please completely fill out this form prior to submission and allow up to four weeks for a decision Organization Name: Primary Contact: Tax Identification Number (If applicable): Email Address: Phone Number: Website: Address: Address 2: City: State: Select... AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP: What is your organizations purpose? What are the demographics of your target market (age, income, residence, etc.)? Has AAACU Donated to your organization in the past? Yes No If Yes, please explain: Amount Requested: Date donation needed by: Number of persons impacted: Additional Sponsors: Yes No Briefly describe the activity or project for which you are requesting a contribution: Are there any nonâmonetary support opportunities associated with this request: If Alpena Alcona Area Credit Union supports your project, how will you measure its effectiveness and follow up with us regarding the results? What are the publicity plans for the project, and how will Alpena Alcona Area Credit Union be included? In what ways other than media will Alpena Alcona Area Credit Union be recognized? Are there volunteer opportunities within your organization? Yes No If yes, please explain.: Please indicate how funds are allocated for every $100 contributed admist: % Community Program Support: % Fund-Raising: % Future Resources: % Administration: Please submit any additional supporting documents.: Security Code: Security Code
