Donations

Complete the Donations Request form below and your application will be reviewed by our Donations Committee.

Name of Organization Requesting Donation(Required)

Contact Person(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number(Required)

Email(Required)

Organization's Tax Identification Number(Required)

Amount of Donation Organization is Requesting(Required)

Date Donation is Needed (mm/dd/yyyy)(Required)

Has Arizona G&T Cooperatives donated to your organization before?(Required)

Yes

If so, when and what dollar amount?

What Electric Cooperative does your organization belong to?(Required)

Please explain, in as much detail as possible, how these donation funds will be used for your organization(Required)