Donation Request Form

Organization/Event Name
Tax Exempt # (If Applicable)
Organization/Event Mission
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Type of Donation Request (Check all that apply)

Type of Donation Request (Check all that apply) Sponsor Financial Gift Certificate(s)/Coupon(s)/Goods
If Financial/Sponsor, what is the dollar amount requested?
Purpose of Donation
Name of Person(s) Requesting Donation
Contact Person Contact Person First Last
Email
Phone Phone - ### - ### ####
How will a contribution from the Anderson Automotive Group enable your organization/event to reach its goals?
Have you purchased or serviced a vehicle from the Anderson Automotive Group?

Have you purchased or serviced a vehicle from the Anderson Automotive Group? Yes No