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Burlington Chevrolet – Donation Request Form
adamgillrie
2026-02-24T17:09:30+00:00
Donation Request Form
Thank you for your interest in a sponsorship or donation from Burlington Chevrolet. To apply, please complete the form below. All requests must be submitted 3 months prior to your event or donation deadline.
Organization
(Required)
Year Organization Founded
(Required)
Does the organization have any salaried employees?
(Required)
Yes
No
Do you have any Burlington Chevrolet employees involved in your organization? If so please list their names and what their involvement is ( Board Member? Volunteer? Committee?)
Are you a chapter of a national organization? If yes, where is their headquarters located?
(Required)
Does your organization have a 501(c)(3)?
(Required)
Yes
No
Event
(Required)
Event Date
(Required)
Physical address of the event?
(Required)
Total Attendance expected?
(Required)
Requested Donation
(Required)
Sponsorship
Silent Auction Item
Amount
(Required)
Do you need our logo?
(Required)
Logo Due Date
Logo Format?
Please upload a flyer or letter for the event
(Required)
Accepted file types: acceptedfiletypes:jpg, png, pdf, Max. file size: 300 MB.
Do you know a Burlington Chevrolet employee that is involved with your organization?
(Required)
Yes
No
Please detail the purpose and beneficiary of your donation request:
(Required)
Are you currently a customer of Burlington Chevrolet?
(Required)
Yes
No
Contact Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
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
All requests submitted are subject to a request for post-event documentation, proof of donation allocation (ex. project report, photographs, video), or additional detailed information about your organization from Burlington Chevrolet.