Gearhead Shopping Event Request Form

Shopping Day Request Form

Pick a shopping day and Gearhead will donate 10% of the proceeds to your organization for anyone who comes in that day and lets us know they are there for your organization's shopping event.
Please submit all requests at least 30 days prior to event.
Organization Name *
Organization Phone Number *

Area Code Phone Number
First & Last Name, Title of Applicant *
Ex: John Doe- Race Director, Jane Doe- Volunteer
E-mail of Applicant *
Phone Number of Applicant *

Area Code Phone Number
Organization or Event Website
Is your organization 501(c)(3) certified? *

Yes No
If yes, please provide your federal tax ID number. *
If no, put N/A.
*Shopping events are only available on Tuesdays
Requested Shopping Day Option 1 *

Month Day Year
Requested Shopping Day Option 2 *

Month Day Year
Requested Shopping Day Option 3 *

Month Day Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
At which store would this shopping event be held?
How do you plan to promote this shopping event? *
How will you promote Gearhead Outfitters' support of this event? *
What makes Gearhead Outfitters the ideal partner for this event? *
Are there any Gearhead Outfitters employees involved with your organization? *
Additional Information (i.e. Sponsorship packet, donation letter, etc):
Should be Empty:

Shopping Day Request Form