Contribution Application

Contribution requests may be submitted online or in writing on official letterhead of requesting organization, accompanied by Blue Grass Energy Contribution Application.

Contribution must benefit members of and area served by Blue Grass Energy.

For consideration, a Blue Grass Energy Contribution Application must be completed and submitted at least three weeks prior to the date needed. Incomplete applications will not be considered.

Blue Grass Energy reserves the right to approve requests at its discretion.

Primary Contact Full Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Primary contact email:

Date benefit desired:

Organization requesting funding:

Organization's phone number:

Describe the benefit of the donation:

Type of donation:

Money

Goods or Services

Description of project or need:

If granted, how will the contribution be used?

Organization's tax classification:

Does the organization receive funding from the United Way?

Yes

If yes, what percentage?

Please list other sources of funding:

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