Charitable Giving Request Form

Full Name

Phone Number

Are you a Lordco Auto Parts employee?

If you are affiliated with Lordco Auto Parts, please describe your affiliation below.

Organization Name

Organization Structure

Organization's Geographic Area of Operation

Event Date

Event Name

Expected Number of Attendees

Briefly describe your event and its goals in one to two sentences.

Please specify the types of donations your organization is requesting.

Which Lordco Auto Parts store? (Please type in the address)

When do you need to receive the donation?

Has your organization received sponsorship from Lordco in the past?

If so, when and what was sponsored?

Charitable Tax Number (optional)

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