Endeavor Donation Request

Request Computer Donation

Computer_Capital Donation Request

Name of Organization *

Community Served *

Number Served *

What is the project you are seeking these items for? *

(example “Funds needed for Supplying Fire Department Uniforms”)

Item & Amount Requested *

This project/effort would benefit the Endeavor Communications Cooperative Community and Surrounding area’s because *

Contact Person *

Phone Number *

Email *

Items should be mailed to, picked up by (include name, business and complete address) *

Items should be mailed to, picked up by (include name, business and complete address)

Address

Address (cont.)

City

State/Province

Zip/Postal

Country

Acknowledgement of Terms *

I have read and understand the Donation Policy and Guidelines provided by Endeavor Communications. If selected as a recipient of any Donation Funds, I give full permission to use my name, the name of the organization seeking assistance, along with any given project name in any form of public press or media attention. I understand completing this form is not an agreement, but a request for monetary assistance. By completing this form, I understand that Endeavor Communications reserves the rights to refuse any donation request at their discretion. In the event that Endeavor donates an item, it is to be used strictly for charitable purposes through auctions, door prizes, and raffles, etc., and is not for resale.

Printed Name of Organization Representative *

Date *

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Endeavor is invested in our community. Donation locations are restricted to the areas in which we serve. We look forward to reviewing your application. Due to the number of applicants, we may not always be able to respond to your request unless it is approved.

The approval process happens quarterly. We take all applications and review them by the end of the month in January, April, July, and October. Please keep this in mind when applying. In order to share the benefits we may or may not reselect the same charity each year.

We wish you well with your charity or organization.

Request Computer Donation

Faster Internet Is Coming

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Donation Request – Computers

Request Computer Donation

Faster Internet Is Coming

Enter your address to check for service