Community Requests

Name and Contact Information

First Name*

Last Name*

Email*

Phone

Home Address*

Street Address Address Line 2 City State ZIP Code

Organization Information

Organization and Address of Organization

Purpose of Event

Describe the need and how the funds will be used

Amount being requested

Date needed by

Payable to

What is your mission statement?

If requested amount is over $200, are you a Non-Profit Organization

Yes
No
N/A

Are you able to provide financial statements upon request?

Yes
No

Questions for beneficiary

Are You Or Are You Related To Anyone Affiliated With Hanover Auto Team?

Yes
No

Are You Currently A Customer Of Hanover Auto Team?

Yes
No

Are You A Faith Based Organization?

Yes
No

Are You Helping Families And/Or Children?

Yes
No

Are You Helping The Elderly, Parentless Or The Imprisoned?

Yes
No

Please Provide Any Additional Information You Think Will Help In Considering Your Request

Is Your Organization In Need Of Volunteers?

Yes
No

If Yes, What Are The Needs, Dates And Times Involved?

How Many Volunteers Do You Need, Listing The Hours Involved For Each Volunteer?

Name and Contact Information

Organization Information

Questions for beneficiary

Dealership Info

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Parts & Service

Financing

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