Our Legacy

Legacy Bank Sponsorship /
Donation Request Form

Legacy Bank strives to be a good corporate citizen, dedicated to supporting our community and charitable organizations. We carefully review each sponsorship/donation request and its true ability to meet the needs of our community. We keep all requests on file for future consideration.

If your request is event-based, please ensure you are submitting this request at least three months prior to the event date. Allow a response time of five business days.

How to Apply

To apply for support from Legacy Bank, please complete the following application electronically, using the form provided below. You may also choose to print a PDF version of the form, sign it and mail it to the address provided.

In addition to the application, applicants may also attach pertinent organization or program material that will further illustrate their cause.

As necessary, Legacy Bank will request further specific information from the applicant. Upon receipt, a Legacy Bank employee will notify the applicant the request has been received and an estimated timeline for the decision will be provided.

Organization Information

Name
Federal Tax Identification Number
Address
City
State
Zip Code
Telephone
Fax
Organization Web Address
Contact Name
Contact Title
Contact E-Mail
Contact Telephone
Contact Fax
Please list any Legacy Bank associates involved in your organization and explain their role(s):
Please list the county or counties your organization serves:
Please provide a brief overview of your organization and its mission:

Request Information

Amount Requested
Type of Request Operating
Program/Project
Sponsorship
Other
Briefly describe the nature of the request (Purpose & Use of Donation)
Has the organization received a contribution from Legacy Bank in the last two years? Yes
No
If so, please list below:
Date / /
Amount

Date / /
Amount
What are the timelines for the project and for fundraising?
What is the deadline for contributions?
Please list any additional opportunities for Legacy Bank to contribute

Authorization

The undersigned certifies that they are authorized to represent the organization applying for a contribution and that the information contained in this application is accurate. The undersigned agrees that if a contribution is awarded to the organization the contribution will be used for the purpose outlined and may not be expended for any other purpose without prior written approval from Legacy Bank.

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