Fillable CHARITABLE ORGANIZATION DONATION FORM

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CHARITABLE ORGANIZATION DONATION FORM

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Stockbridge Munsee Community Tribal Council
N8476 Moh He Con Nuck Road Bowler, WI 54416
715.793.4387
CHARITABLE ORGANIZATION DONATION FORM
To prevent delay, please be sure to complete this form in full. Please print clearly or type.
Organization Name
Street Address
City
State / Province / Region
Postal / Zip Code
Country
Organization Phone Number
Organization Website
EIN/Federal ID
Contact Information
First Name
Last Name
DONATION REQUEST DETAILS
Type of Request
ECONOMIC DEVELOPMENT EDUCATION EVENT SPONSORSHIP
HEALTH AND WELLNESS SILENT AUCTION OTHER
Date Funds Needed By
Amount Requested
Project Overview, (if applicable, include the year and the amount of all previous donations received. This includes any
previous or pending donations with North Star Mohican Casino and Resort.)
Additional Materials
Please include any additional materials such as formal request, project budget, fiscal information, resolution of support or any flyers for
events you may have. Donation request should be five pages or less
• Upload Cover letter/Project Description
• Upload Budget
• Upload 501(c)(3) IRS Designation
• Upload Document
• Upload Document
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CHARITABLE ORGANIZATION DONATION FORM

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Completed 27 January 2021

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