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Donation / Sponsorship Request Form

Organization  Name:

First Name:

Last Name:

Email address:

Phone: FAX:

Address:

City:    State:    ZIP:

Your Request   (Please be specific)

Amount Requested: $

Item(s) Requested:
 

Purpose or Event:

Where will the Event be held?:

What is the date(s) of the Event?:
 
By what date do you need our response by?:
How will the donation be used?:
Are you / have you been a customer of the DealMaker Auto Group?: 
Are you being assisted by any other organization or businesses for this event?
( if YES, please provide a list)

Please provide any additional information here: