Donation, Sponsorship and Advertising Requests

Please fill out the information below. Because of the volume of requests we receive daily, we require at least 30 days to make a decision. We do our best to respond to each request; however, we may not be able to respond or assist with every request.

Your Contact Information
First Name:
Last Name:
Phone Number:
Email Address:
Organization Information
 
Organization Name:
Organization Address:
City:
State:
ZIP:
County:
Federal Tax ID Number (If applicable):
Is the organization a Rumpke customer?
If yes, what is the organization's Rumpke
customer number?
Event Information
If your donation or sponsorship request is not related to an event, please mark NA for the following fields.
Event Name:
Event Venue:
Venue Address:
City:
State:
ZIP:
Date of Event:
Expected Attendance:
Is Rumpke currently scheduled to provide
service for the event?
Description of Your Request
Describe your request (i.e. number of containers needed, monetary donation amount).
Please be as specific as possible. NOTE: Rumpke rarely offers services at no charge; however, advertising and sponsorship involvement may result in service discounts, if contribution budget allows.
Date support is needed (date response is needed):
NOTE: We do our best to respond to each request within 30 days. If your request is needed sooner than 30 days, we may not be able to assist or respond. However, we do encourage you to note this special consideration in the field below so we may attempt to expedite your request.
Have you applied for support from Rumpke in the past?
If yes, please describe the past assistance from Rumpke.
Sponsorship Recognition & Advertising Opportunities
If Rumpke is able to support your request, please detail how your organization will recognize Rumpke. Please check all that apply.
Please Describe:
Please Describe:
Please Describe:
Please Describe:
Please Describe:
Rumpke appreciates the efforts your organization is making to ensure a positive difference in our communities. Your request is important to us. Please know that all donation requests are considered by a Contributions Team. If Rumpke is able to offer assistance, we will contact you directly. Otherwise, we request that you remain patient as we do our best to lend equal consideration to all requests.