Charitable Giving Form (External)

Timberland Bank has a history of significant charitable giving in the communities we serve. We appreciate opportunities to support organizations, programs and events that strengthen the community. If you have questions, please send an email to givingrequests@timberlandbank.com.

W-9 Upload

Please upload your organization’s W-9 as it is required for this donation or sponsorship request.

W-9 upload *

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Organization Information

Tell us about your organization

Organization Name

EIN (Tax ID)

Website

Phone Number

Street Address

City

State

Postal Code

What is your organization's purpose?

Is your organization a registered 501(c)(3) nonprofit?

Yes

Do you have a valid W-9?

Yes

Is the organization a Timberland Bank customer

Yes

Mission Statement

Summarize your organization's strengths and priorities

Facebook Page

Instagram Handle

Twitter Handle

LinkedIn Page

Contact Information

Primary contact for this request

First Name

Last Name

Title/Position

Email Address

Phone Number

Street Address

City

State

Postal Code

Board Member

Please provide information for each board member

Board Member #1

Donation Request Details

What are you requesting?

Type of Donation Request

Amount Requested

Enter amount in dollars

Program or Event Name

Program/Event Date

Funds Needed By

Estimated Attendance

Geographic Location/Area Most Impacted

Intended Use of Funds

Describe Measurable Outcomes You Expect to Accomplish

Supporting Documents

Upload any supporting documentation

501(c)(3) Determination Letter

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Budget or Financial Statement

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List of Board Members

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Event flyer or event packet please attach here

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Additional Information

Charitable Giving Form (External)

W-9 Upload

Organization Information

Contact Information

Board Member

Board Member #1

Donation Request Details

Supporting Documents

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