Request a Donation

There are so many deserving local charities within our community that need help moving forward to accommodate the special needs and services of those people who have nowhere else to turn. Of course, Cox Automotive would like to support each and every charity but unfortunately, that just isn’t possible. If you want Cox Automotive to help support your charity, please fill out our Donation Request Form below. Written, phone, or email requests will not be accepted.

Although submitting an online request does not guarantee your organization will receive a donation, Cox Automotive Enterprises will do everything in its power to make that possible.

Request form must be completed and submitted online by November 1 to be considered for the following calendar year.

Thank you for considering Cox Automotive as a contributor. We thank you for your work and dedication to your charity and wish you the best of luck with your fundraising efforts.

Donation Request Form

To request a charitable donation to your organization from Cox Chevrolet, please fill out the form below.

Organization Criteria / Eligibility*
- Must be a 501(c)(3) Tax-exempt Organization
- Have a track record of quality service delivery and demonstrated results
- Demonstrated fiscal responsibility and long term sustainability
Please check each condition that your organization meets.
Have you received funding from us before?*
- Yes
- No
Name of Organization*
First Name of Contact Person*
Last Name of Contact Person*
Address
Street Address Address Line 2 City State ZIP Code
501(c)(3) Tax-Exempt Number*
Phone*
Email
Name of Event or Program
Date of Event
Time of Event

: HH

MM
Location of Event
Total Amount Requested
In-Kind Request (please describe):
What will the requested donation be used for
- Recurring operating expenses
- Capital campaign and/or non-recurring initiatives
In 100 words or less, give a general overview of the event or project for which you are requesting funds:
In 150 words or less, describe and document/justify the need(s) the project will address:
In 300 words or less, provide the rationale, including evaluation results, data, or research, that supports why the project is likely to be successful:
Describe in detail your method of acknowledging benefactors:
FName
This field is for validation purposes and should be left unchanged.

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Request a Donation

Donation Request Form

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