Menu
Home
Bill Pay
Account Login
Email Login
Internet
TV
Phone
Business
Medical Alert
About
News
Register to Win!
Careers
Contact & Support
Bill Pay
Account Login
Email Login
About
Careers
News
Contact & Support
Home
Internet
TV
Phone
Business
Medical Alert
OmniTel Communications’ Charity Grant Program
Charity Grant Request Under $100
Name of Organization
(Required)
OmniTel Grants are for non-profit organizations only. Please provide your Tax Exempt Number
(Required)
Cash Amount Requested
(Required)
Donation Requested (i.e. items for gift bags, dial-up internet)
(Required)
Reason for request
(Required)
Date Request Made
MM slash DD slash YYYY
Date Needed
(Required)
MM slash DD slash YYYY
In which OmniTel community is this event or organization?
(Required)
Floyd
Greene
Little Cedar
Marble Rock
New Haven
Nora Springs
Plymouth
Rock Falls
Riceville
Rockford
Rudd
St. Ansgar
Stacyville
McIntire
Truro
St. Charles
St. Marys
Emerson
Henderson
Imogene
Carpenter
Carson
Oakland
Creston
Person making request
(Required)
All requests MUST come from a current OmniTel customer.
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
(Required)
Email
(Required)
Check to be made out to
(Required)
Do you (or does this organization) have a presence on Facebook?
(Required)
Yes
No
We strongly encourage that at least one member of the organization requesting an OmniTel Charity Grant have a Facebook presence so they can use OmniTel’s Facebook Wall to promote their project. We believe that posting a description of the project, explaining how this project will benefit others and posting periodic updates of the project’s progress is another way in which the organization can make and maintain strong community connections.
Would this organization be willing to post periodic updates on OmniTel's Facebook Wall?
Yes
No
If you or your organization does not have a presence on Facebook, email us at facebook@omnitel.biz and we will be delighted to help you. Thank you for your request!
Name
This field is for validation purposes and should be left unchanged.
Δ
© 2024
OmniTel Communications ·
Admin
·
Iowa web design
by
bigimprint.com