Date of Request: Firm/Organization soliciting: Address: City: State: Zip: Phone: Individual soliciting: Your relationshi
Donation/Sponsorship Request Form Date of Request: _________________________ Firm/Organization soliciting: ________________________________________________________ Address: ________________________________________________________________________ City: ____________________________________ State: ______________ Zip: ________________ Phone: _________________________________ Individual soliciting: _______________________________________________________________ Your relationship to the organization (Select One): Employee
Volunteer
Paid Worker
Professional Fundraiser
Other: ________
Where did you buy your last vehicle? _________________________________________________ Have you or any member of your family conducted business with Patterson Auto Group in the past three years?
Yes
No
Explain: _____________________________________
________________________________________________________________________________ Type of donation requested:
Cash
Please list amount: $__________
Product/Service
Please list: _________________________
How does your organization benefit the community? _____________________________________ _________________________________________________________________________________ How many individuals does your organization effect? _____________________________________ Are you a non-profit?
Yes
No
If Yes, tax exempt ID: _______________________
Please list your organizations officers: __________________________________________________ _________________________________________________________________________________ Briefly describe how your requested donation will be utilized: _______________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Deadline for Request: _______________________
Email this completed form to
[email protected] or fax to 940-766-5373
