Sponsorship or Donation Request Form

FY 2015-2016

All requests for sponsorships or donations are reviewed by the Revolution Technologies’ Committee and decisions are based on criteria related to our organization's Mission.

Please fill out the form below to be considered. Our Committee meets quarterly to review requests. Please submit the quarter prior to the event so that it can be reviewed.

**A FLYER AND/OR SPONSORSHIP FORM MUST BE ATTACHED TO BE CONSIDERED.**

* = required field

*Name of Organization:

*Name of Contact:

*Contact's Address:

*City:

*State:

*Zip:

*Telephone:

*Your Email:

*Name of Event/Type of Program:

*Date of the Event:

*Amount Request:
$

*What is the purpose of the organization's event/program?:

*How will donations be used and where specifically (Brevard County, East Central Florida)?:

*Is organization not-for-profit with 501(c)(3) status?:
YesNo
If yes, tax ID#:

*What is the primary service category/strategy of the organization and population served? (check all that apply):
Community Wellness & PreventionHealth & Wellness Education/ResearchAddressing Chronic DiseaseArts/CultureBroad Community/General PublicSenior PopulationHuman ServicesCivil/Economic DevelopmentEducationEnvironmentLow-income <200% of Federal Poverty Level (FPG)Children under 18Other:

*Upload Flyer/Sponsorship Form:

DONATION REQUEST POLICY

Revolution Technologies, LLC is pleased to have the opportunity to become part of your upcoming event / program. We recognize the importance of all charities and support many nonprofit agencies and community programs throughout the Brevard area. The following information will explain our procedures and guidelines regarding donations and sponsorships. We attempt to accommodate as many charitable requests as possible.

POLICIES AND PROCEDURES FOR SUBMITTING A REQUEST

  • All donation requests must be submitted online.
  • The online donation form must be filled out completely in order for your request to be considered.
  • Your request for a donation item must be received by Revolution Technologies, LLC the quarter prior to your event.
  • A final decision will be communicated as soon as possible.
  • Your non-profit organization must have 501(c)(3) tax-exempt status.
  • You must enter your organization's valid Tax Exempt ID number on the online form in order for your request to be considered.
  • Due to the large volume of requests received on a monthly basis, there are no exceptions to the above guidelines.
  • Please keep in mind that submitting an online request does not guarantee your organization will receive a donation.

RESTRICTIONS

In order to comply with our core values, we do not utilize our Corporate Giving for the following purposes:

  • Individual or Private Pursuits
  • Political Parties, Associations & Representatives of Advocacy Groups
  • Organizations that Discriminate by Race, Creed, Gender, Sexual Orientation, Age, Religion or National Origin, Disability or Veteran Status
  • Religious Organizations, Churches and Programs that is Purely Denominational in Purpose
  • Research Projects
  • Advertising and Promotion
  • Private or family foundations

*I have read and agree to these policies: