Business Donation Form

(Please print out and complete)

Please enclose this form with your donation payable to FARM RESCUE.  Mail to: Farm Rescue, PO Box 1100, Jamestown, ND. 58402.

Business name: ______________________________  Contact person:_______________________

Address: _______________________________________________________________________

City State, ZIP Code: ______________________________________________________________

Phone number: ______________________________  Fax number: _________________________

E-mail and Website address: ________________________________________________________

We would like to help farm families in a time of crisis by making a donation to Farm Rescue as:

£ Sponsor ($1,000 -- $50,000+)  See website for sponsor levels.

£ Partner ($500)

£ Donor   ($250)

£ Other $__________

Donation amount : $__________ 

Farm Rescue is a 501(c)(3) tax-exempt nonprofit organization incorporated under the state laws of North Dakota.  Donations are tax deductible to the maximum extent allowed by law.  You will receive written confirmation of your donation by mail from Farm Rescue.

êParticipating businesses should e-mail their logos to logos@farmrescue.org.   

êParticipating businesses may include a copy of their logos with this donation form to have it placed on the Farm Rescue website.  In most cases, it is also possible to have Farm Rescue copy a logo from your business website if we receive permission in writing.

 £ I authorize Farm Rescue to copy our business logo for the purpose of placing it on the Farm Rescue website. 

Signed: __________________________________________