Donation request Step 1 of 3 33% Organization InformationNonprofits seeking sponsorship consideration must submit a completed application, a copy of the organization's 501(c)3 certification and any additional materials to: Organization /Group Name(Required)Federal Tax ID Number(Required)Organization Address(Required) Street Address City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number(Required)E-mail Address(Required) Please describe the mission of your organization and its primary beneficiaries:(Required)Funding Category (Select One):(Required) Arts Music History Civic Educational Veterans Group Group that promotes wellness initiative Other Program / Event InformationComplete where applicable.Program / Event NameEvent Date MM slash DD slash YYYY Event LocationSponsorship Payment Deadline MM slash DD slash YYYY How many attendees are expected at your event?(Required)What cities / countries will be served?Please decribe the nature and purpose of your program / event. Does your event promote or teach Hispanic culture through art, music, or history? If so, explain how.Do you need a La Familia Logo or Ad?(Required) Yes No How will your organization use our logo to promote our company?Is there a print deadline? Yes No If yes, what is the deadline? MM slash DD slash YYYY What size and type of print material? Donation InformationAmount of Request(Required)Payment Form(Required)Include sponsorship levels and details, if applicable.Who benefits from the proceeds of any money generated from the event?Has La Familia Cortez Restaurants donated to your organization's program or event in the past?(Required) Yes No If yes, please specify amounts and date(s).CommentsThis field is for validation purposes and should be left unchanged.
