Charity Request

If you are interested in requesting a charity donation, please contact us with the following information:

  • Name of Organization:
  • Tax ID:
  • Address of Organization:
  • Name of Contact:
  • Contact phone number:
  • Email:
  • Name of individual requesting donation:
  • Phone of individual requesting donation:
  • Name of Event:
  • Location of Event:
  • Goal of Event:
  • Date of Event:
  • Time:
  • Date donation is needed by:
  • How often does this event occur:
  • What type of items are you requesting:
  • Please describe how item will be used(Raffle, silent auction etc):
  • How will your organization advertise for this event:
  • How did your organization hear about Riders Harley-Davidson®:

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