ETRN Local Giving Request Form | Equitrans Midstream Corporation

Local Giving/Sponsorship Request Form

Name of the Organization *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Country *

Website / URL

Contact Person *

First

Last

Phone *

Email *

501(c)3? *

Yes
No

Type of Request *

Sponsorship
Charitable Donation

Date of Event (if applicable)

Date

Time

Description of sponsorship or donation request *

Additional Documentation

Click or drag a file to this area to upload.

Request submitted by an ETRN employee? *

Yes
No

If yes, employee name: