Sector Donation Form This form should be used for all Sector Level Donation Requests. Sector:* name of the Sector submitting request. Region*AlbanyCentral RegionLaw EnforcementMid-Hudson RegionNorthern RegionSouthern RegionWestern RegionSelect your region. Your Vice President will receive a copy of your submission. Steward:* Your name (you must be a Steward to apply). Phone*A phone number where we can reach you. Email Address:* Type carefully. We use this email to send you a confirmation email. Date:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Amount being Requested:* Account:*SSP ($25/member)SAP ($500+$2/memberCharity ($500 annually)Regional (Requires Regional VP Approval)Select the Sector account that will be charged the requested amount Contact Information (of Requesting Organization):Organization Donation is for:* 501c3?*YESNOIs the organization Address of Organization:* Contact Name:* Name of your contact at the organization Contact email: Purpose of NYSCOPBA funds being requested:* Is the amount requested a general donation or will the funds be used for a specific purpose? Is there an event associated with this donation?:*NOYES (If yes, please complete the next 2 questions)Date of the EventMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time of the Event : Hours Minutes AM PM AM/PM Media Coverage for EventNOYES (if yes, Contact Info, should be completed)Media Contact Info: Member Login Create your account here. Forgot your password? Username Password Forgot your password? Login