Request a Donation

Submission Form

Thank you for your interest in a donation from Tetherow.  Please fill out the form below in its entirety to be eligible for consideration.

Donation requests are reviewed by a committee on a monthly basis.  You will be contacted via email with our decision when we have reviewed the details of your donation request, regardless of whether or not the request is approved.

Please allow a minimum of 45 business days for processing.

Your Information

Charity / Donation Details

Is Your Organization a 501(c)(3)(Required)
Is Your Organization a 501(c)(3)