Organization Name: Organization Address: Organization Address 2: City: State: Select... AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP: Organization Website: Is the organization you're representing a designated 501(c)(3)? : Yes No Unsure Is the organization or an organization contact/authorized representative a member of Nymeo Federal Credit Union? : Yes No Unsure Would you be interested in joining Nymeo Federal Credit Union? Yes No Has your organization worked with Nymeo in the past or requested a donation in the past? Yes No Unsure Details Opportunity Cost/Amount Requested: Advertising Opportunity and Donation or Sponsorship DescriptionBriefly describe your request: Date Needed By: Date Needed By: Month Month... January February March April May June July August September October November December / Date Needed By: Day Day... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Date Needed By: Year Year... 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 Payment Instructions: How will Nymeo Federal Credit Union be acknowledged with this request?: Donation/sponsorship only(no recognition), Logo at event, Logo on printed materials, Logo on website, Event tickets, Email mention, Photo opportunity, Social media call out, Sponsor involvement at event, Other - Please explain below. File UploadPlease upload any pricing or supplemental materials that may help the credit union make its decision. Including listings of available donation/sponsorship levels available.: ImpactWho does this benefit? Which of our chartered areas does it impact? : Frederick County, Montgomery County, Both, Other - Please explain below. Organization Contact/Authorized Representative The information is only used for the credit union to reach out regarding this specific donation/sponsorship request. First Name: Last Name: Contact Title: Contact Phone Number: Contact Email: Authority to Make Request: I certify that I have the authority to make this request on behalf of the organization. If a request is awarded, it will be used solely for the purpose outlined above and may not be used for any other purpose without prior written approval from Nymeo Federal Credit Union. Security Code (What's this?): Security Code Go to main navigation
