Donation Request

Name of Organization:

Email:

Contact Person:

Contact Phone Number:

Date of Event:

Name of Event:

Event Location:

What would you like us to donate?

Event Description:

How will the donation be used?
AuctionDoor PrizeRaffleOther
Is this event a fundraiser?
YesNo
What/Who do these proceeds benefit?

How will Washington's Auto Parts and Hardware's Donations be recognized?

What is the deadline to receive donation?

Which store(s) to direct the request to:
AthensCenterburgCirclevilleDelawareGranvilleHeathJohnstownLoganMansfieldMarengoMarionMarysvilleMcArthurMt. GileadNewarkPataskalaPlain CitySunburyUpper Sandusky