Please answer all questions below and check the box at the bottom before clicking the "Submit" button. If a question is not applicable or you have no answer, just enter "n/a" in that field. Thank you.

Date of Request 4/23/2019

Organization Making Request:

Name
Is Organization a BOB Customer?  
 

Person Making Request:

Contact Name
Contact Phone Number
Contact E-mail
Your Role in Above Organization
Are You a BOB Customer?  
 

Specifics of Request:

Type of Donation Preferred

Event Details, (e.g.- name, date)
Purpose Donation Will Serve
Specifics of Request (type, amount)
How Will Donation Be Recognized?
 
Deadline for Response from BOB
Deadline for Delivery of Donation
Have You Made This or Similar Request of BOB Before?  
Approximate Date of Last Request
Previous Response From BOB
Other Details or Considerations

I have read and understand Bank of Bolivar’s Donation/Sponsorship Policy