Charitable Request Donation

• Today's date
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ABOUT YOUR ORGANIZATION

• Is it a 501(c)3? If so, please submit a copy of the tax-exempt certificate.

  Yes

  No

• Has the organization received a donation from Shipwreck H-D in the past?

  Yes

  No

• Do you own a Harley?

  Yes

  No

• What will the donation be used for?

  Auction Item

  Price Item

  Raffle Item

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• Submit