Donation Request Page

We are committed to serving our community! We enjoy giving & participating in worthwhile projects/events! However, we must prioritize our giving/local advertising requests and evaluate each request carefully. In order to evaluate your request, please fill this out & attach any other information you feel would be helpful. Thank you! Doug Wilson & Darryl Stone

Your Name*

Organization*

*

Street Address City State ZIP Code

Phone*

Zip Code

What is your relationship to the organization you are soliciting for?*

If you are working for a fee or percentage, state the amount:

**Are you a 501c3 Tax-Exempt Organization?*

Yes
No

What is the service rendered by your organization?*

Have you or your organization purchased a vehicle from Collierville CDJR?*

Yes
No

If Yes, under what name and when?*

What contribution are you or your organization seeking from us?*

Amount*

If approved, will you agree to the following?*

All donations and employee participation will be recognized on your organization’s website (or blog if you maintain one). The recognition will include a photo provided by the dealership, our logo, and a short summary of the dealership’s support. All articles (or if no article, your website) will include a link back our dealership homepage.
If your organization has a Facebook page, you agree to post a photo that both parties agree is appropriate and thank the dealership's employees for their support of your mission/project. The text portion of the Facebook post will also include a link back to the dealership’s Facebook Page.
If your organization has a Twitter page, you agree to post a photo and thank the dealership's employees for their support of your mission/project. The text will also include a link back to our website or our Twitter account.
If your organization has an Instagram page, you agree to post a photo and thank the dealership's employees for their support of your mission/project. The text will also include a link back to our website.

**You will be asked for your Tax ID should you be approved.

Electronic Signature*

Date of Request*

*

If your organization has an Instagram page, you agree to post a photo and thank the dealership's employees for their support of your mission/project. The text will also include a link back to our website.

Your privacy is important to us. *By providing my phone number (optional) and clicking 'Submit', I agree to: (1) receive calls and SMS text message communication with additional information and relevant offers from Collierville CDJR regarding my inquiry, at the phone number above; and (2) the Collierville CDJR Privacy Policy and Terms of Use. I understand that consent is not required to make a purchase and that message and data rates may apply. I also understand that I may opt out at any time. Collierville CDJR takes your privacy very seriously and does not rent or sell your personal information to third parties without your prior consent.

Your Phone

This field is for validation purposes and should be left unchanged.

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