Donation Request

Donation

Donations & Sponsorships

Salem Electric is committed to the communities we serve and welcomes the opportunity to help organizations through donations and sponsorships.

To request funds, please complete the donation request form to explain how your organization benefits the community and how the requested funds will be used.

Eligibility & Form

Sponsorships and Donation Eligibility

Donations to community groups should be for events or projects that benefit the community and not for the sole benefit of the group
Nonprofit businesses or corporations must provide direct support to members of the community

Non-Eligible Groups and Organizations

For-profit organizations
Political campaigns or parties
Organizations that discriminate on any basis, including race, color, age, sex, religion, national origin, physical or mental disability, or sexual preference
Donation requests are subject to approval and available funding. Requests take up to 10 business days to process.

Donation Request Form

Name of Organization

Contact Person

First Name

Last Name

Phone

Organization Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Organization Mailing Address Same As Above

Organization Mailing Address (if different)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Event or Project Name

Date of Event or Project

Funds Requested $

Brief Description of Event or Project

How will the funds be used?

Do administrative costs exceed more than 15% of the donation?

Yes

How will Salem Electric members benefit from this event or project?

Are there any specific goals or outcomes you hope to achieve?

Have you received support from Salem Electric in the past?

Yes

Will Salem Electric be featured in promotional materials or at the event? If so, please provide details of what is needed from Salem Electric and any deadlines.

Upload any supporting documentation (flyers, sponsorship information, etc.):

Upload requirements

Eligibility Confirmation

Yes, I confirm that the organization or community group requesting funds is a non-profit or not-for-profit organization serving Salem Electric members. I understand that completing this form does not guarantee funds will be granted.

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