Donation Request Form
Organization
Organization name *
Address Line 1 *
Main contact person *
Address Line 2
Phone number *
City *
Email *  
State * Zip *
County in which you predominantly serve *
Zip code(s) in which you serve or to which you provide services *
Does your organization have 501c3, tax exempt status? *

Please provide appropriate documentation of tax exempt status
Are any WaterStone Bank employees on your board of directors or otherwise affiliated with your organization? *

Please list names and describe their involvement with your organization.
Donation Request
Amount of money requested *
Type of donation requested *




Area of giving *




Relevant deadlines related to request (printing deadline, date of event, etc.)

Please provide an estimate of the numbers of people impacted by a donation. For example, if it is an event sponsorship, how many people do you expect will attend? If it is a program, how many folks will be impacted, how many people will be notified of your program (e.g. donor list), etc.? If a capital campaign, how many people will use or pass through your facility? *

Does this particular donation benefit low-to-moderate income individuals in Milwaukee, Waukesha, Washington or Ozaukee counties? *


What benefits come with this particular donation? In what specific ways will WaterStone Bank be recognized for its donation (naming rights, advertising, publicity, etc.)? *

If you have a 501c3 letter or additional materials that you would like to include, you may select multiple files to attach.
To do this, place the files you want to upload in the same location, then click-and-drag to select them or hold CTRL (SHIFT on MAC) and click them individually.