Door Prize Request Florence, Muscle Shoals & Tuscumbia

Thank you for providing us the opportunity to support your cause. While giving back to our community is a Top Priority for Long-Lewis, please understand that we receive hundreds of requests each month. We would love to be able to assist with each and every one but unfortunately, due to a limited budget, that is just not possible.

There are a few requests that we cannot consider. Please do not submit a request if it fits into one of the following categories:

Any Type of Cash Sponsorship/Support Request
Sports Team Sponsorships
Sponsorship of an Individual for Any Type of Competition
Ads in Event Programs, Yearbooks, etc.

Door Prize Request Muscle Shoals & Florence Form

Name of Organization*
Address of Organization
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Person Making Request*
First Last
Affiliation to the Organization
Is this organization a 501c3?*
Tax ID Number of 501c3
Is this a Faith Based Organization or Initiative?*
Name or Type of Event
Event Date
MM slash DD slash YYYY
Type of Request*
Requested Amount*
Who will Benefit from Our Participation and/or What will be the Benefit to Our Local Community?
Who Should We Contact with Questions?*
First Last
Contact Phone Number*
Contact Email*
Were You Referred by Someone, if So Who?
First Last
Are You Related to Anyone Employed by Our Company? If so who?
First Last
What is Your Relationship to This Person?
Should We Mail the Items or Will Someone Pick Them Up?
If Mail, What Address?
Street Address Address Line 2 City State ZIP Code
If Someone Will Be Picking It Up, What Name Should We List?
First Last
What is the Deadline for Our Decision?*
MM slash DD slash YYYY
What is the Deadline for Having the Items Ready?*
MM slash DD slash YYYY
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We Do Business Your Way!^™

Welcome to LONG-LEWIS™ est. 1887!

Door Prize Request Florence, Muscle Shoals & Tuscumbia

Door Prize Request Muscle Shoals & Florence Form

We Do Business Your Way!™

Welcome to LONG-LEWIS™ est. 1887!

Door Prize Request Muscle Shoals & Florence Form

We Do Business Your Way!^™