Request for Contribution or In-Kind Donation

Today's Date *
Today's Date
Street Address *
Street Address
Phone Number *
Phone Number
Organization Information
Please give a brief overview of the organization. For example, the vision or mission statement, history, who or what does this organization serve.
Required Information *
Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the internal revenue code?
Applicant Information
What is your affiliation with the person or organization requesting the donation?
How are you personally involved (volunteer, committee member, donor, etc.)?
Request Information
Please check the type of support you are seeking. *
Event Information
Is this donation request in association with a particular event? *
If no, please move on to the Additional Information section.
Date of event:
Date of event:
Will sponsors be promoted?
Additional Information
When do you expect to receive this Contribution or In-Kind Donation?
When do you expect to receive this Contribution or In-Kind Donation?

NOTE: For event sponsorship and/or donations over $500,000, a follow-up report will be required within 6-months of the donation. Evaluation of results guides us in determining what our funding is achieving, and helps us assess the impact we are making in the communities we serve. It is also important for us to qualify your organization for future donations from Nor-Son, Inc.

Please be sure all of the information is entered correctly.