Donation Requests

Giving back is a big part of our hometown banking philosophy.

We support non-profit organizations, groups, and activities in the following areas:

Education
Youth
Arts and culture
Financial literacy
Health
Disadvantaged people
Business and civic interests

Western cannot provide support to individuals, pageants, political parties, or any organization that discriminates against race, color, creed, sex, age, disability, religion, or marital status.

To submit a request, complete and submit the below form. You can also download an application and bring it to your local Western State Bank location.

Organization *

Address *

City *

State *

ZIP code *

Contact name *

Email address *

Phone number *

Organization tax status *

Non-profit
For profit

Federal Tax Identification Number

Is the organization a bank customer? *

Yes
No

Organization purpose/mission

Donation amount requested

How would the donation be used?

Who would benefit from the donation?

Additional comments

Are You a Robot? *