Donation Requests « McClure Oil

Fill out the information below to request any monetary or product requests from the McClure Oil Corporation.

Is your organization a 501(c)(3) organization?*
- Yes
- No
Are you requesting a monetary or product donation?*
- Product
- Monetary
What is the donation to be used for?*
What area of the state or town will the donation be used in?*
When do you need the product or funding by?*
MM slash DD slash YYYY

(60 day lead time required for all donation requests.)
Name of Group*
Contact Person for Response*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Additional Comments
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