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Submit Request to Titus-Will Automotive Group
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Your Information
Your Name
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First
Last
Your Email
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Your Phone
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Relationship to Recipient Organization
*
Please Select
Employee
Volunteer
Board Member
Other
Other, please specify
Recipient Organization Details
Organization Name
*
Organization Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Organization Contact Name, Email, Phone same as above?
Yes
No
Organization Contact Name
*
First
Last
Organization Contact Email
*
Organization Contact Phone
*
Enter 501(c)(3) if applicable/known
Event Details
Event
*
Event
Non-Event
Event Details
Request to use venue?
No
Yes
Event Name
*
Type of Event
Live or Silent Auction?
Live
Silent
Digital/Virtual
Not Applicable
Event Start Date
*
MM slash DD slash YYYY
Event End Date
*
MM slash DD slash YYYY
Start Time
Hours
:
Minutes
AM
PM
AM/PM
End Time
Hours
:
Minutes
AM
PM
AM/PM
Approval Deadline
MM slash DD slash YYYY
Collateral Deadline
MM slash DD slash YYYY
Event Description
Event Venue
Event City/Municipality
Event State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Is this a new event?
Yes
No
How many years has event been held?
Expected Turn-Out
Event Demographics
Age Range (select all that apply)
Unknown
0-12
12-24
24-48
48-60
60-72
73+
Male to Female Ratio (example: 60-40)
Event Sponsorship
How do you plan to promote sponsors leading up to the event and during the event?
What are the benefits of sponsoring this event?
Ship-to Address
Is ship-to address for items the same as the organization's address?
Yes
No
Attention
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Request Summary
Amount Requested (leave blank for non-monetary requests)
Overall Goal Amount
Request Title
*
Description
*
How will funds be used by the organization?
*
Capacity Building
Capital Campaign
Capital Expense
Endowment Campaign
Operating Expenses
Special Project
Classification
*
Gift / Donation
Marketing / Sponsorship
Matching Gift
Dollars for Doers
Match Challenge
Uncategorized
Donation Type
*
Monetary
Auction Item
In-Kind
Gift Basket
Gift Certificate
Volunteer Labor
Donation Questions - Connections
Do we have an employee involved in the recipient organization?
Unknown
Yes
No
Is the recipient organization a customer of our business?
Unknown
Yes
No
Application Questions Continued
How will funds be used?
Other corporate donors? (please list)
Recognition besides Titus-Will?
Litigation Information and Status
Does this organization have any open matters of litigation currently pending?
No
Yes
If yes, please explain.
Has there been any change in the organization's purpose, tax exempt status, or certification since founding?
No
Yes
If yes, please explain.
Attachments
You may attach up to three files.
Attach File #1 (Doc, XLS or PDF no larger than 4MB)
Accepted file types: doc, xls, pdf, Max. file size: 100 MB.
Attach File #2 (Doc, XLS or PDF no larger than 4MB)
Accepted file types: doc, xls, pdf, Max. file size: 100 MB.
Attach File #3 (Doc, XLS or PDF no larger than 4MB)
Accepted file types: doc, xls, pdf, Max. file size: 100 MB.
Comments
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