SEMA Cares Annual Contribution Application

The following application is to receive an annual contribution from SEMA for a partnership opportunity. Applications will be reviewed by the SEMA Cares Committee for review and a recommendation made to the SEMA Board of Directors for final approval. Decisions on annual contributions will be made upon review of the budget each fiscal year.

Organization Contact Information

Contact First Name *

Contact Last Name *

Contact Email Address *

Contact Phone Number *

Organization Information

Name of Organization *

Organization Phone Number *

Organization Street Address *

Organization Address Line 2

Organization City *

Organization State *

Organization Zip Code *

Number of years in operation *

501c3? *

Tax ID # *

Is non-profit affiliated with a national organization? *

National Non-Profit/Organization Name: *