Donation Request

As a cooperative, Pioneer Communications places a high value on serving the communities of which we are a part. If your group or organization would like to request assistance with a project or sponsorship of an event, please fill out and submit the request form below. Request must be made at least 2 weeks before the event or deadline for consideration.

Donation Request

Charitable Sponsorship Request Form

Your Name(Required)

First Last

Your Email(Required)

Enter Email Confirm Email

Contact Name(Required)

First Last

Phone Number(Required)

Organization Name(Required)

Organization Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Website

Event Name(Required)

Event Type(Required)

Sponsorship

Advertising

Donation

Event Summary (Date/TimePlace/Count)(Required)

What are you requesting? (monetary amount, # of door prizes, etc., be specific please)(Required)

How will Pioneer Communications be recognized at your fundraiser/event/promotion?(Required)

Upload any documentation related to your event (flyer, brochure, image, etc.)

Drop files here or

Accepted file types: gif, jpg, jpeg, png, pdf, Max. file size: 50 MB.

Is the receiver of the requested donation or sponsorship a Pioneer customer?(Required)

YES

Donation Request

Donation Request

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