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 (required):
If an event, Please Provide date, time and location:
Type of Organization/Event

Contact Information:
Street Address:
City: , State:
Zip:
Telephone: , Fax:

Organization Details
Name of Organization/Event Leader:
Name of Person Submitting Request:
Position with Organization:
Requester's Email Address:
Organization Website:

Type of Support Requested:
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):

The donation should be delivered by: Mail (to above address)Picked up in Person (in Lone Oak)

Other Comments:

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.