Contribution Request

Thank you for your interest in the Green Auto Group.  Please fill out the form below and fax it along with any other relative information to 309-691-1209.  We request 90 days advance notice on all donation/contribution requests.
* Indicates Required Information



* First Name:_______________________________ * Last Name:________________________________

* Email:___________________________________ * Best time to contact:________________________

Address:_______________________________________________________________________________

City:_____________________________________ State:_____________  Zip:_____________________

* Organization:_________________________________________________________________________

* Non-profit corporation number:_____________________________ Date incorporated:____________

* IRS tax deduction number:________________________  Fed tax ID:___________________________

* Your relationship to the organization:____________________________________________________

* Your request:_________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

* Date of event soliciting for:__________________________ * Location:_________________________

______________________________________________________________________________________

* Additional information attached:  Yes________  No________


* Signature:____________________________________________________________________________

* Date:________________________________ * Best contact number:___________________________

Fax this form along with any other relative information to 309-691-1209.
  1. Green Chevrolet

    8017 N Knoxville Ave
    Peoria, IL 61615
    Directions

    • Sales: (888) 701-3462
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Hours

  • Monday 8am-7pm
  • Tuesday 8am-7pm
  • Wednesday 8am-7pm
  • Thursday 8am-7pm
  • Friday 8am-7pm
  • Saturday 8am-5pm
  • Sunday Closed