Parts Center Online Ordering | Shults Auto Group

Name of Organization/Group*
Name*
First Last
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?*
- Yes
- No
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:
Name
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