• 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 taxID:____________

* Your relationship to the organization:_________________________________

* Your request:_________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

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

_____________________________________________________________________

* Additional information attached: Yes________ No________


* Signature:___________________________________________________________


* Date:_________________ * Best contact number:______________
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