Donation Request Form
Reineke Family Dealerships | www.reinekefamilydealerships.com

Please fill out completely and email flyer to Levi.Heldman@drivereineke.com
*Must be a non-profit, federally recognized 501C-3 or community-based organization.
*Must be located within the Market Area.
*One donation per event.

For questions, please call 419-425-2434 or email Levi.Heldman@drivereineke.com.

Name: *
Your answer
Phone number: *
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Email: *
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Please select your local Reineke Family Dealerships store: *
Organization Benefiting: *
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Address: *
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City, State, Zip: *
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Tax Exempt Number (501-C3):
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Tax I.D. Number:
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What is the event? Please provide a brief description: *
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Date of Event: *
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Donation requested: *
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