Donation and Sponsorship Request

Full Name *

Your Daytime Phone Number *

Your Email Address *

Organization’s Name *

Organization’s Phone Number *

Organization’s Address *

City *

State *

Zip *

EIN (if applicable)

Organization's website (if applicable)

Is this donation a part of a community event? *

Is this donation a part of a community event? * Yes No

Name of the Event *

Date of the Event *

Location of the Event *

Purpose of the Event *

Type of Donation Requested *

Requested Donation Amount *

Did Phelps County Bank participate in this event last year? *

PCB should make the check payable to:

Additional information about your event, deadlines, etc.

Upload an Event Flyer

* Required