Community Support Request Form - Ketel Thorstenson - CPA

To be considered for a Ketel Thorstenson sponsorship, please completely fill out the form below.

Contact Name:(Required)

First Last

Organization Name:(Required)

Address of Organization:(Required)

Street Address City State ZIP Code

Email:(Required)

Phone:(Required)

Website:

Event or Project Name:(Required)

Date of Event or Deadline for Donations:

Tax ID Number:

Tax-Exempt Status:(Required)

501(c)3 organization

government agency

public education institute

Other

Purpose/Mission of your organization:(Required)

Donation or support requested (be specific):(Required)

Description of project or event:

How does this project or event benefit the community?

Is an employee of KT a member of your organization?

How will Ketel Thorstenson be recognized as a benefactor?

Additional information:

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Comments

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Please allow a minimum of 1 week for the sponsorship committee to evaluate you request. Thank you!