To apply for a contribution please complete the form below and submit. Contributions will be given in the form of a product from our stores, prepaid gas cards, or cash. The average donation is in the amount of $50.00 to enable us to participate with many organizations. Please help us serve you and our community better by submitting your applications according to the following required guidelines:
1. Complete the below Clark’s Pump-N-Shop Contribution Request Application2. Provide your organizations federally issued organization identification number (if you are a 501(c)3).3. Submit the completed application at least 2 weeks prior to the date of the contribution needed.
Your request will be reviewed by our Contribution Committee and you will be notified of our decision within One Week of your event.
Please note: Applications which do not meet all 3 of the above requirements will automatically be declined. A completed application is not an agreement to honor your request. Contributions to organizations will not be given more than one time in a calendar year. A previous contribution does not guarantee a contribution will be offered again for a specific event or amount.
1. The contribution will be used for the purpose outlined in the application and may not be expended for any other purpose without prior written approval from Clark’s Pump-N-Shop.2. Clark’s Pump-N-Shop has received nothing of material value in exchange for contribution.3. Information about the organization and the contribution may be used by Clark’s Pump-N-Shop in published materials.