DONATION, SPONSORSHIP, AND EVENT
REQUEST FORM

Donation Request Form
Zia Credit Union strongly invests in and proudly supports the communities it serves. If you are seeking a charitable donation, sponsorship, or event participation from Zia Credit Union, please complete this form. Completion of this form does not ensure funding will be granted. Please allow 4 weeks for a response.

Donations Must Do These:
• Benefit a charitable cause
• Be made to an organization that qualifies as non-profit/tax exempt under Section 501c(3) of the Internal Revenue Code
• Benefit a significant segment of the community or communities within the four counties Zia serves — Los Alamos, Rio Arriba, Santa Fe, and/or Taos
• Be limited to one donation per organization per calendar year
• Promote a positive and family-oriented presence in the community
• Create a positive image of Zia Credit Union

Donations Cannot Do These:
• Be made to individuals, political candidates, religious organizations, or individual teams
• Support travel or capital improvements

Organization Name*

Event or Project Name*

Date of Event (if applicable)*

Month/Day/Year

Date by which funding is needed (allow 4 weeks)*

Month/Day/Year

Contact person*

Telephone No.*

Email*

Payment Mailing Address*

Is someone from this organization a member of Zia Credit Union?*

Yes

If so, who?

What amount are you requesting?*

How will the funds be used? Please attach a flyer or brochure if applicable.*

Please upload flyer or brochure.*

How many people will be impacted, and how will they be impacted?*

How do you plan to promote Zia Credit Union’s donation? *

Has this organization received funding from Zia Credit Union in the last 12 months?*

Yes

Please make check payable to:*

Please provide your URL and social media accounts so Zia can follow you, tag you in posts, and share your work with the community.

Facebook

Instagram

Website URL

DONATION, SPONSORSHIP, AND EVENTREQUEST FORM

DONATION, SPONSORSHIP, AND EVENT
REQUEST FORM