Donation Request Form

Donation Requests

Lum's Buick GMC understands the importance of giving back to the community. We continue to support organizations and events in Yamhill County that focus on education, youth, and health and wellness. Donation requests are reviewed quarterly. (January, April, July, and October)

First Name*
Last Name*
Phone*
Email*
What is your role in relation to the organization?*
Name of Organization*
Organization's mailing address*
Street Address City State / Province / Region ZIP / Postal Code
Web Address*
Tax I.D.
Name of Event for Organization*
What type of donation are you requesting? (monetary, event sponsorship, gift certificate, raffle item, gift basket, etc.)*
Have you purchased a vehicle from Lum's within the last two years?*
Do you currently service your vehicle at Lum's?*
Lum's Auto Group provides community support and focuses their community giving on education, children, and health and wellness. Which of the following does your organization/event support (check all that apply)
- 1. Education
- 2. Youth
- 3. Health and Wellness
Has your organization received any funding (raffle prize, sponsorship, monetary donation, etc.) from Lum's within the last two years? If so, please give approximate month/year*
Is there any additional information you’d like to provide for your donation request?
Your Phone
This field is for validation purposes and should be left unchanged.

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