Charitable Contribution Request Form
Please complete this application in its entirety.
Date:	**/**/**
Organization:
Address:
City:
State:
Zip:
Telephone:
Fax:
Executive Director:
Contact Person (if different):
Email Address:
Website:
Is your organization currently a customer of Howard Printing, Inc.?
Yes No
If not, how did you hear about us?
Online search engine Link from another website Yellow Pages Ad in local program booklet Newspaper ad Radio ad Friend Colleague Word of mouth I am already an HPI client Other
Please provide a brief description of your organization:
Geographic Area Served:
Amount of Donation Requested:
Total Fundraising Goal:
Type of Donation Preferred:
Cash: Printing: Sponsorship: Other:
Please summarize the program, project, or purpose for which you are requesting funds:
Please mail or fax a copy of your 501 (c)(3) classification from the IRS to support your application to:
Howard Printing, Inc. 14 Noahs Lane Brattleboro, VT 05301 Fax: 802-257-1453
If you have any questions relative to this form, please call 802-254-3550.
Applications are reviewed twice a year at the end of December and the end of June for the following six months. Deadlines are November 1st and May 1st, respectively. Please plan the timing of your request accordingly.