Your Trusted Agricultural Retailer for Agronomy, Energy, Feed and Grain

Community Stewardship

Mid-West Fertilizer is committed to helping our rural communities prosper and prepare for tomorrow. Developing leaders within our communities, alleviating hunger and enhancing ag education and community safety are just some of the programs that we are proud to support.

To Apply for a Donation or Sponsorship
Organizations requesting donations from Mid-West Fertilizer must complete the application below. Please allow 5-7 business days for a response from Mid-West Fertilizer. When the form has been submitted correctly, a confirmation will be sent using the email provided in the form.

Donation and Sponsorship Form

This form should be used to submit all donation and sponsorship requests to Mid-West Fertilizer. Please allow 5-7 business days for a response from a Mid-West Fertilizer representative.

To confirm successful submission of your request, you will receive a confirmation email. If you have not received a confirmation email within 30 minutes of completing the form, please submit the form again.

**Requesting Organization:

**Name of Contact Person:

**Mailing Address:

**City:

**State:

*Zip Code:

*Phone:

*Email:

*Is this a donation or sponsorship request?:

Donation Sponsorship

*Will Mid-West Fertilizer's logo appear on any digital or print materials?:

Yes No

**If so, please provide more details.:

Briefly describe what materials we will need to provide and what they will be used for.

**Amount or Product Requested:

**Request Description:

Briefly describe what the request will be used for and what will happen as a result of this donation

**Is this donation in association with a particular event?:

Yes No

If so, when is the event?:

Name of Event:

Date Donation or Sponsorship is Needed By:

Please allow 30 business days for a response.

Supporting Files:

Please select a file

If available, upload additional information regarding sponsorship request.

Security Code:

DONATIONS AND SPONSORSHIPS

Community Stewardship

Donation and Sponsorship Form