Giving Back

Donation Applications

Questions? Call us at 360-321-0364 or email GivingBack@whidbeytel.com

Monetary Donation Request
Contact Information
*Denotes a required field.
Organization Name*

Non Profit ID#*

Date*
MM slash DD slash YYYY

Contact Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Email*

Website (if available)

Tell Us About Your Donation Request
Donation Amount Requested*

Write a brief description of your organization and your request.*
PR Types*
How will the local community benefit from this donation?*
What benefits do your sponsors receive for their participation (ie: logo on website, banners)?*
How are funds and donations, other than your request from Whidbey Telecom, being raised?*
Attach Additional Materials
Max. file size: 600 MB.
Consent*
I agree to the Terms of Use*
TERMS OF USE: To request monetary donations from Whidbey Telecom, please fill out this form completely, attaching any additional materials to this form. Donated amount is granted at the discretion of the Company. Logos and instructions will be provided by our Marketing Department, if applicable. Whidbey Telecom reserves the right to discontinue donations at any time without prior notice. By submitting this form, I certify that I have read, understand, and agree to these Terms of Use and Conditions.
Email
This field is for validation purposes and should be left unchanged.
Service Donation Request
Contact Information
*Denotes a required field.
Organization Name*

Non Profit ID#*

Date*
MM slash DD slash YYYY

Contact Name*
First Last
Whidbey Telecom Account#

Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Email*

Website (if available)

Type of Account Requested
Note: We are not permitted to donate regulated telephone services.
Select Internet Package
Note: Basic DSL Service is provided at our Power 10 package — speeds up to 10 Mbps / 3 Mbps. If you need more speed, you will be billed for the difference between Power 10 and the speed you wish to receive.
Select Service Type
Other

Web Hosting Requests Only
DNS record must read: ns.whidbey.com 209.166.64.3, ns.whidbey.net 209.166.65.1
Web Developer

Email Address

Domain Name

Select Domain Type
Check if currently hosted by Whidbey Telecom.
Check if currently hosted by Whidbey Telecom.
Tell Us About Your Donation Request
Write a brief description of your organization and your request.*
How will the community benefit from this donation?*
What benefits do your sponsors receive for their participation (ie: logo on website, banners)?*
Consent*
I agree to the Terms of Use*
TERMS OF USE: To request donated Whidbey Telecom service(s), please fill out this form completely. Donated account term length is granted at the discretion of the Company. At the end of the donated term, your service(s) will automatically revert to billed service(s) at regular prices. Recipients of donated web hosting are required to prominently display the Whidbey Telecom logo with a “hosted by” notification and a link to our website on the home page of the site hosted. Logos and instructions will be provided by our webmaster at account setup. Whidbey Telecom reserves the right to discontinue donated service(s) at any time without prior notice. By submitting this form, I certify that I have read, understand and agree to these Terms of Use and Conditions.
Name
This field is for validation purposes and should be left unchanged.
Community Media Room Rental Request
Community Room Rental
Standard business hours are Monday – Friday, 9:00am – 5:00pm. Usage outside standard business hours is $150.00/hour. Room configuration changes are $50.00.
Contact Information
*Denotes a required field.
Organization Name*

Non Profit ID#*

Today's Date*
MM slash DD slash YYYY

Contact Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Email*

Website (if available)

Tell Us About Your Organization or Event
Date*
MM slash DD slash YYYY

Date*
MM slash DD slash YYYY

Arrival Time*

: HH

MM

AM/PM

Departure Time*

: HH

MM

AM/PM

Consent
Recurring?
Recurring?

Organization/Business Sponsoring Event*

Number of Guests*

Write a brief description of your organization and how the local community will benefit from your event.*
Will there be publicity promoting your event? If so, will it include mention of Whidbey Telecom?*
Attach Additional Materials
Max. file size: 600 MB.
Consent*
I agree to the Terms of Use*
TERMS OF USE: To apply for donated Whidbey Telecom service(s), please fill out this form and/or attach a description of your organization, the intended use of the service(s), and how it will benefit our community. Donated Conference Center rental is granted at the discretion of the Company. At the end of the donated term, your service(s) will automatically revert to billed service(s) at regular prices. Whidbey Telecom reserves the right to discontinue donated service(s) at any time without prior notice. By submitting this form, I certify that I have read, understand, and agree to these Terms of Use and Conditions.
Email
This field is for validation purposes and should be left unchanged.

Local Philanthropy Efforts

Who do we help?

We have supported and will continue to support community efforts that enhance:

– Health and social services
– Education and learning opportunities
– The richness of the arts
– Care for our environment

How can we help you?

Whether it’s the use of our state of the art media center, the provision of internet services, or monetary contributions, Whidbey Telecom is happy to help. Submit a request to our philanthropy program below.

“An attitude of service is the foundation of our company.”

Commitment to Community

Donation Applications

Monetary Donation Request

Contact Information

Tell Us About Your Donation Request

Service Donation Request

Contact Information

Type of Account Requested

Web Hosting Requests Only

Tell Us About Your Donation Request

Community Media Room Rental Request

Community Room Rental

Contact Information

Tell Us About Your Organization or Event

Local Philanthropy Efforts

Who do we help?

How can we help you?