Gearhead Donations

Donation/Sponsorship Request Form
Due to our donation policy and budget requirements, please submit all requests at least 30 days prior to event.

If you are interested in a shopping event where we donate 10% of proceeds from an entire day to your organization fill this Shopping Event Request Form.
Name/Type of Event*
Ex: Auction, Fundraiser, "Healthy Mind 5k"
Date of Event*

Month DayYear
Is this event more than 30 days from today?*
Organization Name*
Organization Phone Number*

Area CodePhone Number
First & Last Name, Title of Applicant*
Ex: John Doe- Race Director, Jane Doe- Volunteer
E-mail of Applicant*
Phone Number of Applicant*

Area CodePhone Number
Additional Contact
Ex: Sally Smith- Sponsorship Coordinator
Additional Contact E-Mail
example@example.com
Additional Contact Phone Number

Area CodePhone Number
Organization or Event Website
Is your organization 501(c)(3) certified?*

YesNo
If yes, please provide your federal tax ID number. *
If no, put N/A.
Which Gearhead Store is your event closest to?*
Location of Event*
City, State, Venue
Brief Description of Event*
Which of the following are you seeking?*

Silent auction item(s)Gift card(s)Door prizesSponsorshipOther
If your donation request is approved where should the donation be shipped to?

The closest storeThe address listed below
Which address should the donation be shipped to?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If other, please describe
If you are applying for a race sponsorship, please provide sponsorship levels.
Please provide a detailed explanation of the donation you are seeking*
How will you promote Gearhead Outfitters' support of this event?*
What makes Gearhead Outfitters the ideal partner for this event?*
Are there any Gearhead Outfitters employees involved with your organization?*
Has your organization helped with a Gearhead Outfitters event before?*

YesNo
If yes, which event?
Would you or your organization be willing to help with a Gearhead Outfitters event or race in the future?*

YesNo
Are you requesting volunteers for the event? *

YesNo
If so, how many? *
What will the volunteer duties entail? *
For what time slots will you need volunteers? *
Additional Information (i.e. Sponsorship packet, donation letter, etc):
Should be Empty:

Donation/Sponsorship Request Form