• GMC
  • Buick

S & K Buick GMC

1400 S Dirksen Pkwy
Springfield, IL 62703

  • Sales: (888) 435-5233
  • Service: (888) 439-9185

Contribution Form

Thank you for your interest in S&K Buick GMC.  Please fill out the form below and fax it along with any other relative information to 217-788-1437.  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:___________________________