Appleton Donation Request Form
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1DONATION REQUEST FORM
ORGANIZATION: ____________________________________________
ADDRESS:
____________________________________________
PHONE:
____________________________________________
REASON FOR EVENT: ________________________________________
_____________________________________________________________
TYPE OF REQUEST:
ITEM: __________________________________
OTHER: ________________________________
(IF OTHER, PLEASE EXPLAIN) _______________________________
_____________________________________________________________
CHARITABLE TAX ID NUMBER: _____________________________
CONTACT PERSON: _________________________________________
CONTACT PHONE: __________________________________________
Please fill out form and return with a flyer/brochure of the above named event. You can
turn in form to Appleton Harley-Davidson or email
as
“Donation Request” in subject line. Upon receipt of completed form and flyer, if we are
able to make a contribution, you will be contacted by Appleton Harley-Davidson with a
date for pick up.
2501 Highway 41-A Bypass Clarksville, TN 37043
Phone 931.648.1607 Fax 931.553.7523
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Parent category: Business