Courtesy Corporation

In order to make informed decisions on contributions and donations, we ask that your organization complete this form in its entirety. Incomplete forms may delay or cause us to deny your requests.

Courtesy Corporation donates Be Our Guest (BOG) cards that are good for free McDonald’s menu items.

Courtesy Corporation Headquarters
2700 National Drive, Suite 100
Onalaska, WI 54650
Phone: (608) 781-8080
Fax: (608) 781-8555

Requests are reviewed the first week of every month and only approved applicants will be notified by mail.

Date:

5/18/2008

Group/Organization:

Non-Profit Federal Tax ID #

Contact Name:

Address

City:

State

Zip:

Email:

Phone:

What city or geographic region does your organization cover?

What is the purpose of the organization?

How long has your organization been in existence?

What is the purpose of this fundraiser/event?

What is the total projected dollar goal of the fundraiser/event?

What percent of the total amount raised will be used for administration?

Has your organization made a request from Courtesy Corporation in the last:
12 months? Yes No 24 months? Yes No

If yes, what was the nature of the fundraiser and how does it differ from this request?

What type of donation are you requesting? (monetary, BOG cards, or other)

If requesting BOG cards, how many specifically are you looking for?

If requesting a monetary donation, what is the dollar amount?

How will this donation benefit Courtesy Corporation?

How will this donation benefit the community?

Do you anticipate making additional requests of Courtesy Corporation in the next:
12 months? Yes No 24 months? Yes No

If yes, what type of request would you be looking for?

What is the date or deadline for your event?

We appreciate you taking the time to help us make a decision on this request. Should the request be denied for budgetary reasons, please feel free to make future requests.

	©2004 Courtesy Corporation. All rights reserved.