Donation Requests

If your organization would like more information or to request a donation from Habersham EMC, please complete the following form. Please note: to apply for Operation Round Up grants for individuals/families/organizations, please complete the application on the Operation Round Up page.

Donation/Sponsorship Request Form

This field is for validation purposes and should be left unchanged.

Name of Organization(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Same as previous

Counties Served(Required)

Habersham

Hall

Lumpkin

Rabun

Stephens

White

Organization Representative’s Name(Required)

Representative’s Phone Number(Required)

Representative’s Email(Required)

Who will benefit from this donation or sponsorship?(Required)

Is the organization a 501(c)3 nonprofit?(Required)

Yes

Request is for:(Required)

Amount/quantity requesting if monetary donation or giveaway items:

Note: Habersham EMC makes reasonable efforts to accommodate donation requests. However, completing this form does not guarantee that your organization will receive the requested donation. Habersham EMC is a member-owned, not-for-profit cooperative.

Donation Requests

Donation/Sponsorship Request Form

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