COVER PAGE

Please provide the following information. You may either use a typewriter to fill out this Cover Page for submission, or you may recreate this page on your computer, using the same headings listed below. Please be sure to number the pages in your application.

Organization Name: 
 

DBA (Doing Business As):

Business Address:  

City, ST, Zip:          

Telephone: (0) (H) Fax: 

Email address: 

Chief Executive Officer/Title: 

Contact Person/Title: 

Type of Support Requested: 

Geographic Area Served: 

Program Name: 

Organization Budget: 

Program Budget, if applicable: 

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For office use only. Do not write below this line on this page. Be sure to include these headings if you recreate this form.

Recommendation:

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Please provide the following information. 

BACKGROUND

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PROPOSAL

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FINANCES

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COLLABORATIONS/PARTNERSHIPS

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ADDITIONAL INFORMATION

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MEMORANDUM OF AGREEMENT

Kingdom Services, Inc. (KSI) and

[name of organization]

Pursuant to our discussions, the terms of the agreement pertaining to

[name of program or event] on [date] are as follows:

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POSITION OF EVENT

The official program or event title is

[name of program or event]. Whenever the event is identified, the following statement will be included, An event of Kingdom Services, Inc. which supports [name of organization] and other local kingdom-building organizations.

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EVENT REVENUES

All checks and donations will be made payable to Kingdom Services, Inc. As they are received, checks will be copied and logged in at the offices of [organization name]. The checks will then be sent to Kingdom Services, Inc. for deposit in the Kingdom Services, Inc. account. An event thank you/charitable gift acknowledgement letter will be generated by

 [organization name], approved by Kingdom Services, Inc. and sent to all donors in a timely fashion following the event. This letter will be produced on specially created event letterhead or Kingdom Services letterhead and signed by both a representative of Kingdom Services, Inc. and a representative of [organization name].

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EVENT EXPENSES

All event expenses will ultimately be paid from event revenue. All event expenses will be billed to [event name] or Kingdom Services, Inc. A representative from

[organization name], acting as the event coordinator, will approve all expense invoices and forward them to Kingdom Services, Inc. for payment.

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ASSISTANCE APPLICATION

Non-profit organizations seeking assistance, including [organization name] will be required to complete and submit an application and all other information necessary for approval of the application to:

Ken Scholten, Chairman
Kingdom Services, Inc.
11199 Pellicano Drive
El Paso, TX 79935

The request is due no less than 6 months prior to the program or event date. Upon the timely submission of a completed application, Kingdom Services will recommend assistance to [organization name] from Kingdom Services. The Board of Directors of the Kingdom Services, Inc. retains sole authority to distribute assistance of any kind through Kingdom Services, Inc.

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FINAL ACCOUNTING

The event's final accounting statement will be provided to Kingdom Services no later than two weeks after the program or event. All event invoices must be paid by one week after the program or event. All event proceeds must be deposited in Kingdom Services account by one week after the program or event.

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EVENT LITERATURE/PROMOTION

Kingdom Service, Inc. will be given the opportunity for prior approval on all printed materials. Such materials include but are not limited to:
• Brochures
• Letters
• Programs
• Press Releases
• Invitations
• Advertisements

The parties agree to the terms set forth above.



By: Date: 
Kingdom Services, Inc.


By:

Date  : 
Organization name: