Consolidated Donation

Enable javascript on browser - you will not be able to use this form properly without it.
For instructions on enabling javascript click here.

Consolidated has a strong dedication to you and to Nebraska. We have invested vast resources in the economic development of our state, infrastructure and schools because it's our home, too. You can count on us to be there with high-quality products and services now...and in the years ahead.

* Required Information.

Contact Information

Organization:

Tax Exempt: Yes, tax exempt: No, pay taxes:

First Name:

Last Name:

Mailing Address:

City:

State:

Zip:

Phone:

E-mail:

Donation Summary

Type of Request: Cash/Check: Goods/Services:

Amount: $

Payable to:

Have we donated to your organization in the past? Yes: No:

Please give a brief description of your organization:

Characters: (300 remaining)

Please explain how the funds will be used and how that will benefit people in the areas we serve:

Characters: (300 remaining)

I hereby authorize all information for donation use only.

Make sure all information is correct before you submit.