Submit Community Support Request

I have a local worthy cause that I would like Owen Cleaners to consider supporting. I am submitting this request with the understanding that Owen Cleaners, Inc. retains the sole right to accept, modify or decline my request.

Name of Organization/Event:
If an event, provide date
Time
Location:
Type of Organization/Event:
Mailing Address:
City:
State:
Zip:
Telephone:
Fax:
Name of Organization/Event Leader:
Name of Person Submitting Request:
Position with Organization:
Requester's Email Address:
Organization/Event Website:	http://
Type of Support Requested:
Other (Explain):
Date a Decision is Requested:
Date Ad or Gift Must be Received:
Suggested Amount of Donation:
The proceeds of donation will go to: (Explain organization, fund, purpose, etc.)
Upon acceptance of my request for support by Owen Cleaners, my organization agrees to provide a written invoice or letter before payment of donation is requested.
The donation should be delivered by:
Other Comments:

VIA MAIL: Owen Cleaners, 2858 Lone Oak Road, Paducah, KY 42003

Or VIA FAX: (270) 554-5524

Questions? Please contact Debbie Manning at Owen Cleaners at (270) 554-3209

Or via email at: contactus@owencleaners.com