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:___________________________
* 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.
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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