Round Up at the Register Non-Profit Application for Funding
Thank you for your interest in partnering with the Oneota Co-op to raise funds for your non-profit entity.

The Oneota Community Food Co-op gives back to the community in many ways. One such way is through our Round Up at the Register campaigns held each month. Through these campaigns our customers and community have the opportunity to donate to local non-profit organizations by simply rounding up their purchases at the register to the next whole dollar amount.

We have a diverse pool of applications from non-profits and the funds raised vary, but the goal is to provide our customers with options that fit for them as well as fitting with the mission and Ends of the Co-op. Please complete the following form to apply to be a recipient of these round up donations during an upcoming campaign.

Applications will be evaluated on a first come, first serve basis. The Co-op's Mission and Ends are taken into consideration when determining the most appropriate fit at any given time. Co-op management will be in touch when your organization has been selected, and scheduled, as an upcoming recipient of a campaign.

Thank you for your request and we look forward to assisting you.
Sign in to Google to save your progress. Learn more
Email *
 Full Name of Organization Requesting Round Up Funds *
Address of Organization Requesting Funds *
501C3 Status or Tax ID Number of Organization
Mission of Organization *
Additional information about the organization that you would like us to know. This information may also be used to formulate a press release after the campaign is complete. *
Name of Person Submitting Request *
Contact Email *
Contact Phone Number *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oneota Community Co-op. Report Abuse