Please review our Donation Guidelines before submitting your request. * - Required Fields Organization Name of Organization* Non-Profit 501C3 Tax-ID Address* City* State* ZIP* Contact Person* Phone* Fax Email* () -Second partThird part () -Second partThird part Do you or the organization have a current relationship with Heritage South? YesNo Has Heritage South donated to your organization in the past?* YesNo If yes, please provide the year(s) and amount(s) of past donations? Donation Request Please describe your request* Request for* ItemMonetaryOther If other, please explain Item Details of Item Requested Do you need a logo or advertisement?* YesNo Logo Color B&WColor Size (width) x (height) inches Logo/Advertisement format PDFJPGEPSOther Date by which logo or advertisement is needed (mm/dd/yyyy) Monetary If monetary donation is being requested, to whom should the check be made payable? Amount Requested $ Date by which funds are needed (minimum of 8 weeks from date presented to Heritage South) (mm/dd/yyyy) Address to which check should be mailed Submit I've read the Donation Guidelines Prove you're not a robot.*