Charitable Contributions, Donations and Sponsorship Form Please complete the form below, If you have any questions or concerns, please email our Marketing Department. General Information Type of request*: Giveaway Item(s) Monetary Donation or Sponsorship Request amount*: Name of Group or Organization*: Name of person making request*: Street address*: City*: State*: Zip*: Phone*: Email address*: Group or Organization's primary purpose/mission (500 characters)*: Event Information Date of event (MM/DD/YYYY)*: Name of your event*: What is the purpose of your event/request? (500 characters): Location of event*: Duluth, MN Hermantown, MN Poplar, WI Solon Springs, WI Superior, WI - Main Superior, WI - Midtown Will there be any advertising/promotions featuring National Bank of Commerce?*: No Yes If so, please describe (500 characters): If so, what format would you need to receive our logo?: jpg pdf eps Questionnaire Please complete all questions to the best of your ability. Is the group/organization making this request a 501(c)3 nonprofit agency?*: No or Unknown Yes Will the funds/donations being requested provide financial literacy training?*: No or Unknown Yes Will the funds/donations being requested provide community services targeting low to moderate income families (i.e. food bank or shelter)?*: No or Unknown Yes Will this request support activities that revitalize or stabilize low or moderate income areas; disaster areas; or distressed areas?*: No or Unknown Yes Will this request directly promote the arts and/or culture of our communities?*: No or Unknown Yes Will this request directly provide a community youth program (ages 0-18) that promotes education?*: No or Unknown Yes Will this request directly provide a community youth program (ages 0-18) that promotes health and well-being?*: No or Unknown Yes Specifically, is the group or organization listed on this request a customer of National Bank of Commerce?*: No or Unknown Yes Are there any current NBC associates actively involved with your group or organization?*: No or Unknown Yes If so, please enter the name(s): Current Position Held (if any): How many people will be impacted by your request?*: Is this request to raise funds for personal activities, including a benefit?*: No Yes Are you raising money or requesting a donation in support of a trip and/or tour?*: No Yes Are you requesting the advertising or selling of tickets?*: No Yes Has your event already occurred?*: No Yes Are you a political organization or a candidate running for public office?*: No Yes Are you an organization located outside the communities in which National Bank of Commerce serves?*: No Yes Does your organization discriminate on the basis of race, religion, age, color, sex, disability, national origin, ancestry, marital status, sexual orientation, or veteran status?*: No Yes Is your organization outside the United States?*: No Yes Additional Information Upload attachments here: Please make any additional comments here (500 characters): Please press submit once. Upon submission you will be redirected to our "Giving back, moving forward" page and will receive a confirmation email.