Community Giving Application - Granite State Credit Union

Date of Application

Organization Name

EIN #

Purpose of Organization/Objectives

Event Date/Deadlines

Type of Support/Amount Requested

Other Materials Requested

Groups/Communities Served by Organization's Program

Are you requesting support from other credit unions or financial institutions?

Yes No

If so, please list

Are you a GSCU member?

Yes No

How did you hear about GSCU?

Make Check Payable To

Contact Name

Email

Phone

Mailing Address (Street Address, City, State, and Zip Code)

Community Giving Application for Support