Dealership Charitable Request

Organization Criteria / Eligibility
• Must be a 501(c)(3) Tax-Exempt Organization.
• Must be based and serve communities within the following counties: Duval, Nassau, Clay, Baker and St Johns
• Have a track record of quality service delivery and demonstrated results.
• Demonstrated fiscal responsibility and long-term sustainability.
• Request form must be completed and submitted online by November 1st to be considered for the following calendar year.

Total Amount:
Cash Request Amount:
In-kind Request:
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 the need(s) that the project will address:

Charitable Request