Parts Center Online Ordering | Shults Auto Group

Name of Organization/Group*

Name*

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Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Brief outline of Organization's Goals and Objectives*

What communities/individuals will benefit from a contribution from Shults Auto Group?*

How will they benefit?*

Are you an approved 501(c)(3) status organization?*

Amount/Type of contribution or donation you are requesting?*

If seeking advertising sponsorship, how many will receive the publication?

Please list ad sizes for advertising if applicable:

As a local advertiser, we respect deadlines. Please let us know when you need confirmation to this request:

Is any artwork required?

If yes, what is deadline to receive it?

Please provide any additional, helpful information:

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