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Midcoast Maine’s Leading Supplier of Heating Oil and Propane … We’re Not Comfortable Until You Are!

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Maritime Energy Cares!

We are committed to giving back to the communities in which we service. We also donate to larger organizations, that are near and dear to us, including The Maine Cancer Foundation.

Due to the volume of requests we receive, please complete the form below to be considered for a donation or sponsorship.

Donation Request Form

Donation Request is for an Individual or Organization?(Required)

Donation Request Details for Individual/Personal

Are you a Maritime Energy Customer?(Required)

Name(Required)

Full Name

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Amount Requested(Required)

Date Donation Needed By(Required)

MM slash DD slash YYYY

Donation Purpose(Required)

Other Explained(Required)

Reason for Donation Request(Required)

Please provide us with more specific details on why you would like to receive a donation from Maritime Energy. This information is kept confidential.

Organization Information

Applicant's Name(Required)

Full Name

Applicant's Phone Number(Required)

Applicant's Email Address(Required)

Name of Organization(Required)

Full Legal Organization Name

Owner/President(Required)

Owner/President

Full Legal Name

Organization Founded(Required)

MM slash DD slash YYYY

Tax Identification #(Required)

Organization Type(Required)

Organization Size(Required)

Number of Employees

Organization Phone Number(Required)

Organization's Website

URL must include https:// or http:// prefix, example, https://maritimeenergy.com

Organization's Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Description and Mission Statement of Organization(Required)

Donation Request Details for Organizations

Date Response Needed By(Required)

MM slash DD slash YYYY

Target Date for Request

Donation Request Amount(Required)

Dollar Amount

Donation Purpose(Required)

Other Explained

Regions to Benefit from Donation(Required)

Kennebec County

Knox County

Lincoln County

Waldo County

State Wide

Goal of Donation(Required)

Community Improvements/Engagement

Educational Opportunities

Heating Assistance/Relief

Medical Assistance/Relief

Preservation/Conservation

Other

If Other, Please Explain

Number of Beneficiaries from Donation(Required)

Estimate of how many people will benefit from this donation

Beneficiary Target Demographic(Required)

Name and Description of the Project/Program Requesting Donations(Required)

Document Upload

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx, Max. file size: 20 MB, Max. files: 4.

Upload your IRS 501(c)(3) Determination Letter, Event or the organization that you represent, Brochures, Pictures, and Company Logo

Are You A Heating Customer of Maritime Energy?(Required)

Acknowledgement & Submission

Consent to Submit and Provide Information to Maritime Energy(Required)

I agree that the information filled in on this form is accurate to the best of my knowledge. I also agree to allow Maritime Energy to have access to this information to determine eligibility. By checking this box, I understand that Maritime Energy has the right to refuse this donation request for any reason at any time and that a donation is not guaranteed by completing this form.

Applicant's Signature(Required)

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Maritime Energy

Main Office: 234 Park Street, PO Box 485, Rockland, ME • 1-800-333-4489

About
- About Us
- Our Team
- Energy 4 Life
- Jobs
Contact
Customer Service
Fuel Delivery & Plans
Installation & Service
Safety & Tips

Maritime Energy

Main Office: 234 Park Street, PO Box 485, Rockland, ME • 1-800-333-4489

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