Arvig Donation Request

Requestor Name*
Are you an Arvig employee?*

YesNo
Company/Organization Represented*
Phone Number*
Email*
Date of Request

MonthDayYear
Date of Event*

MonthDayYear
Date Needed*

MonthDayYear
Reason for Request*
How will Arvig be recognized for this event?*
Donation Requested*
Requests exceeding $5,000 are required to present their project to the Donations Committee.
How many Arvig customers will be impacted by this donation?*
Make check payable to*
Send to*
Include full mailing address.
If you are requesting donated service, please include your Arvig Account Number
Click here to see where to find your Arvig Account Number on your statement.
Additional Information*

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Donation Committee Approval _____________________________________

Invoice Date __________________________________________________________

Total Due _______________________________________________________

Or Item ________________________________________________________

Invoice # DONATION

Coding
Arvig Ent/Birch 191.7181
Callaway 426.7181.7300
MIS 1710.7181
Redwood County 250005.7181.7300
Melrose 191005.7181.7300
EOT 229.7181.7300

Osakis 1210.7181.7300

Home 151005.7181.7300

Clements 260005.7181.7300

TCS/PR/Tek 627.7181

Midwest Telco 1110.7181.7300

Southern Cable 152005.7181

TVU 318.7181.7300

People 1610.7181.7300

Martinsen 150005.7181

Mainstreet 192005.7181

Marketing 115.7181

Felton 515005.7181.7300

Eagle Valley 550005.7181.7300

Loretel 513005.7181.7300

Alliance 5510005.7181

Arrowhead 540005.7181.7300

Golf 115-7181/9133
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