Charitable Donations

CHARITABLE DONATION REQUEST

All of the following information is required in order for us to consider your request for charitable donations.

Click here for our Charitable Donations Policy
Organization*
Date*
MM slash DD slash YYYY
Organization Contact*
First Last
Title*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Contact’s relationship to the organization:*
- Employee
- Volunteer
- Paid Worker
- Fund Raiser
What services are rendered by your organization?*
What percentage of the donation will be used to help low to moderate income individuals or families?*
How will this donation be used?*
What percentage of your fiscal year budget are your administrative expenses?*
What kind of advertising/signage and recognition will Cornerstone Bank receive, if any?*
Are there any other financial institutions donating at this time? If so, please list.*
What type of contribution are you seeking?*
- Monetary
- Promotional Item(s)
By what date do you need the contribution?*
MM slash DD slash YYYY
Does your organization do business with Cornerstone Bank?*
- Yes
- No
To whom should the check be made payable?*
Please make sure your proposal includes the following information:
- A description of your organization, including its mission and major accomplishments
- A copy of the letter from the IRS stating your organization's 501(c)(3) status, if applicable
- A list of key staff, titles and current Board of Directors including office status, if applicable
Additional information can be mailed to:

Cornerstone Bank Charitable Donations Committee P.O. Box 370 Southbridge, MA 01550-370 charitabledonations@cornerstonebank.com

Within 30 days following the event, please provide a letter or program showing how funds were used and the benefits the Bank received.
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Charitable Donations

CHARITABLE DONATION REQUEST

Please make sure your proposal includes the following information:

Additional information can be mailed to: