Heartland Cooperative Services
101 Parkside Dr. Dorchester, WI 54425
715-654-5134 or 1-800-521-2021
AGRICULTURE - INDUSTRY - RURAL LIVING
Contact Phone Number, (Include area code)
Monetary donation amount requested
Product(s) & quantityrequested
Reason for request: I.E. What will the product or money be used for?
If this is for a event, state date and location
Provide brief description of event
Who should the check be written to?
If product needs to be delivered please provide location and time.
Organization or contact address
Requested donation is needed by what date?
All requests will be reviewed on a first come first served basis. Please submit request one month prior to event.
Please visit our websites for information on our companies at:
www.heartlandcooperativeservices.com and www.omegavalleyfarmers.com
100 Parkside Drive, Dorchester, WI, 800-521-2021