Donation Request Form
Zylstra Harley-Davidson strives to be a good corporate citizen. It is our intention to make substantial and significant contributions to strengthen the education, health, and wellbeing of children in our community. We recognize that there are many causes worthy of support, however we feel that by focusing our efforts in certain areas, we can better serve our community. Zylstra Harley-Davidson will respond to your contribution request within 10 business days, if it falls within the scope of our chosen efforts.
Date
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Month
-
Day
Year
Date
Name
First Name
Last Name
Organization Name
*
Phone Number
*
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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About Your Organization
Is the organization a 501 (c) 3?
*
Yes
No
Has it previously received a donation from Zylstra Harley-Davidson®?
Yes
No
Unsure
What is your relationship to the organization?
Point of contact for Donation Collection
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization's Executive Director
First Name
Last Name
Organization's Board President
First Name
Last Name
Please upload a copy of tax-exempt form
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Tell us about your fundraising event
Event at which the donation will be used
Date of Event
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Month
-
Day
Year
Date
How many people will attend the event?
The Event's goal
Recognition to Donors?
At Event
Prior to Event
Sponsorship
Other
Please explain why you need this donation.
What Donation Items are you interested in?
Apparel
Gift Cards
Misc. Goods
Monetary Donation
What will the donations be used for?
Date Needed
*
-
Month
-
Day
Year
Date
Submit
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