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The Benefits
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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.

Additional information may be requested by Blue Grass Energy.

Date of Application:

Date Response is Needed:

Name of Organization:

Date of Event:

Mailing Address:

Type of Event:

Contact Person:

Phone:

Email:

Type of Request:

Amount:

Description:

If granted, how will contribution be used:

Who benefits directly from contribution?

Name board of directors or officers of organization, or governing body/individual

Does organization use professional fundraising organizations to generate money?

If yes, please name organizations and indicate percentage of funding received:

Organization’s tax classification:

United Way-funded organization?

% of funding from United Way:

Other sources of funding: