Heritage Auto Repair

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Donation Application

Incomplete applications will not be considered. For more information on Heritage Auto Repair's community involvement
visit http://www.heritageautorepair.com/community-involvement.html.

All required fields are indicated with an asterisk (*)

Organization Information

Charity/Organization Name *

Organization EIN# *

Is the organization a 501(c)(3)? Yes No

Street Address *

City *

State *

Zip Code *

Phone Number *

Fax Number

Web Site Address

What is the purpose of your organization? (300 chars left) *

Explain how this donation will directly benefit those in our community (300 chars left) *

Contact Information

First Name *

Last Name *

Title/Position *

E-mail Address *

Donation Details

Type of donation requested Services Cash *

Type of service(s) requested *

Date and time service is needed *

$ Dollar Amount Requested *

Promotional Considerations

We agree to allow Heritage Auto Repair to publish our logo on the Community Involvement page of its web site *

We agree to display the Heritage Auto Repair logo on our web site as a sponsor of our organization *

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