Organization/Individual Submitting Request*

Are you a non-profit organization?* YesNo

Donation Request Amount*

Brief Description of Organization Mission*

Brief Description of How Funds Will Be Used*

How many people will be reached through the donation (event attendees, fundraising participants, marketing, etc.)?*

How will Renewable Energy Group be recognized for their contribution?*

First Name* Donor Requester

Last Name* Donor Requester

Relationship to Organization*

Phone Number*

Email Address*

Address*

City

State*

Zip Code*

Country*

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