Local Giving/Sponsorship Request Form Please enable JavaScript in your browser to complete this form.Name of the Organization *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountry *Website / URLContact Person *FirstLastPhone *Email *501(c)3? *YesNoType of Request *SponsorshipCharitable DonationDate of Event (if applicable)DateTimeDescription of sponsorship or donation request *Additional Documentation Click or drag a file to this area to upload. Request submitted by an ETRN employee? *YesNoIf yes, employee name:Submit