Hypertherm

Donation Form

Community Projects pictures

Fill in this form to apply for a Hypertherm donation.

Contact Info: * Required field
* Name of Organization: * Contact Person:
* Tax Exempt Number: Title/Position:
* Address: * Telephone:
* City: Fax:
* State: E-mail Address:
* Zip: Web Page Address:
Organization mission and description:
Please describe your organization’s mission.

How does your organization mission align with Hypertherm’s Philanthropic mission?

How long has your organization been in operation?
The funds being sought are to be used for:
Capital Campaign
Operating Budget
Special Project or Event
  Please describe:
Other
Program/Event Info:
Total budget for current project is:
Amount requested from Hypertherm:
Has your organization received previous support from Hypertherm? Yes No
If known, list year(s) and amount(s): years,

List names of any known Hypertherm Associates involved in your organization:

Or y ou can click here to print this form and mail it in.