We seek to fulfill needs in our communities
with our time, talents, and resources.

Please complete the following form for monetary or donation requests from the Nicholas Family of Companies.
Requests should be a minimum of four weeks in advance of an event or deadline.

Name

First Name

Last Name

Email

Event Name

Nicholas Company Requesting Assistance From

Check Amount, Gift Card Value, or Sponsorship Level Requested

Due Date

MM

DD

YYYY

Entity Payable To

Mail Funds or Gift Cards To

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Marketing Liaison Name

(for sending logo, collateral, etc.)

First Name

Last Name

Marketing Liaison Contact

Provide Any Additional Information

We seek to fulfill needs in our communities with our time, talents, and resources.

We seek to fulfill needs in our communities
with our time, talents, and resources.