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Donation Request
2.
Please tell us about your organization:
To be considered for a donation from Benchmark Community Bank, please provide the following information:
1.
Your name:
(Required.)
2.
Name of the organization making this request:
(Required.)
3.
Which community or communities does your organization serve?
(Required.)
Kenbridge
Victoria
Farmville
Crewe
Blackstone
Lawrenceville
South Hill
Chase City
Clarksville
South Boston
Halifax
Other (please specify)
4.
How can we reach you?
(Required.)
Mailing address:
Phone number:
Email address:
5.
Does your organization currently bank with us?
(Required.)
Yes
No
6.
If no, would you like information on our Community First Account?
Yes
No
7.
Please tell us about any Benchmark associates who volunteer for or belong to your organization.
