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Gallery of Homes

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Company Information / Corporate Giving / Donation Request

Donation Request Form:

Organization name	Address


City	State


Zip Code


Brief Description


501c(3) Determination Letter	Tax Identification Number


Contact Person	Title


Phone Number	Email Address


Describe the purpose of the request


Project Location	Estimated Date/Need for Delivery of Product


Amount Requested (take-offs required)


Describe the expected results and total goal for the program or projects.


James Hardie has three giving categories, which best describes your organization or project?


What is your cash request total?


What populations does your organization serve?


What geography does your organization serve?


Do any James Hardie employees currently volunteer with your organization?
Yes No

Have you ever applied to James Hardie in the past?
Yes No

What other organizations have you approached for support?



For Requests $5,000 and Above -
If you are requesting $5,000 or more in cash, sponsorship support or product donations, please provide the following information:

Program or project timetable:

Evaluation criteria you will use to measure success


Summary of current and/or past financial and volunteer support from James Hardie


Operating budget for organization's current fiscal year


Current project/program budget


Annual Report including the following information:

List of major donors for the most recent and current fiscal year


List of board of directors and affiliations


Audited financial statement


Mission, goals, objectives (2-3 sentences)


Current programs and activities


Geographic area and general description of population served


Number of people served per year by entire organization


Please provide any additional information that will be helpful to us in considering your request.

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