PLEASEREADBEFORECONTINUINGThankyouforthisopportunitytohelpyourgroupororganization.Doc’sreceivesasubstantialnumberofchartablerequestseachweekandunfortunatelywecan’tparticipateinallofthem.Tohelpusmakeadecisionregardingyourcharitableevent,weneedyoutoanswerthefollowingquestions.Receiptofapplicationisnoguaranteeofparticipationandyoumaybeaskedtosubmitthisformagainoradditionalinformationinfollow-up.Pastparticipationisnoguaranteeoffutureconsiderationbutshouldbenoted.Duetoapplicationvolume,youwillonlybecontactedifweareinapositiontoparticipate.Youaremorethanwelcometofollow-upwithusbyphoneore-mailifyouhavenotheardfromus.PLEASEALLOW3WEEKSADVANCENOTICE.Thankyou. CUSTOMER INFORMATION Are you a Doc’s customer? Yes No If not, is someone in your group? No Yes, their name is: __________________________________ GENERAL INFORMATION Today’s Date: _________________ Charity receiving benefits: _______________________________________________________________ If different from above, your group name? __________________________________________________ Event Name: __________________________________________________________________________ Date(s) of event: _______________________________________________________________________ Sponsorship/donation deadline: ____________________ Can you provide Doc’s with a tax deductible receipt for donation? Yes No Is this the first year for the event, if not, when was it established? Yes No ___________________ CONTACT INFORMATION Contact Name: ________________________________________________________________________ Phone: _____________________________ E-mail: ___________________________________________

EVENT DETAILS What is the charitable goal of your organization or this event?

How many people will benefit from this event? ____________________ What is the estimated attendance for the event? ___________________

CHARITY REQUEST

Doc’sHarley-DavidsonofShawanoCounty,Inc.W2709St.Hwy29¨Bonduel,WI54107

Phone(715)758-9080¨Fax(715)758-1340Email:docshd@tds.net

What are you looking to receive from Doc’s Harley-Davidson? (Please note; if you have multiple levels of sponsorship at different donation levels, please include a flyer or proposal with details and price points.) _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What type of donations have you already received? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What other companies are participating in this event? ______________________________________ _______________________________________ ______________________________________ _______________________________________ ______________________________________ _______________________________________ ______________________________________ _______________________________________ ______________________________________ _______________________________________ ______________________________________ _______________________________________

ALL SUBMISSIONS MUST BE ACCOMPANIED BY A COPY OF THE EVENT FLYER OR BROCHURE. Complete and return in person or mail to:

Doc’s Harley Davidson, W2709 St. Hwy. 29, Bonduel, WI 54107