Donation Requests

If your organization would like more information or to request a donation, please complete the following form.

Donation/Sponsorship Request Form

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This field is for validation purposes and should be left unchanged.

Name of Organization(Required)

Address(Required)

Street Address City State ZIP Code

Counties Served(Required)

Angelina

Hardin

Jasper

Liberty

Montgomery

Polk

San Jacinto

Trinity

Tyler

Walker

Principal Agent(Required)

Agent Phone Number(Required)

Agent Email(Required)

Who will benefit from this donation or sponsorship?(Required)

Is the organization a 501(c)3 nonprofit?(Required)

Yes

Request is for:(Required)

Advertising Details(Required)

*Please submit information listing size options, pricing, how many copies will be printed, and how the publication will be used.

How many?(Required)

For what ages?(Required)

Event Date (MM/DD/YYYY)(Required)

Month

Day

Year

Requested Amount(Required)

How will the funds be used?(Required)

Please describe:(Required)

Note: Sam Houston Electric Cooperative, Inc. makes reasonable efforts to accommodate donation requests. However, completing this form does not guarantee that your organization will receive the requested donation. Sam Houston EC is a member-owned, not-for-profit cooperative.