Donation Request Donation Request Organization Name * Contact Person * Phone * Email * Mail to * Mail to Mail to Mail to City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Organization Category * Agriculture OrganizationAgriculture EducationFirst ResponderSchool EventCommunity Event Choose a NuWay-K&H Cooperative Location - Check all that apply Algona, IA Buffalo Center, IA Burt, IA Clear Lake, IA Corwith, IA Elmore, MN Frost, MN Goldfield, IA LeRoy, MN Thornton, IA Titonka, IA Thompson, IA Trimont, MN Welcome, MN Wesley, IA Type of Donation * Monetary Item(s) Amount/items Requested * Date of Event * Reason for Request * Have you received donations from NuWay-K&H Cooperative in the past? * Yes No Unsure How will NuWay-K&H Cooperative be recognized? * Will the NuWay-K&H Cooperative logo be used? * Yes No How will the NuWay-K&H logo be used? * Does your event have a website or Social Media page? * Yes No Please include the site address. * How did you hear about our donation program? * Please feel free to attach any additional information regarding your donation request and/or organization. We will contact you if a contribution will be made. File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB Captcha If you are human, leave this field blank. Submit Δ
