TLC Autowash & Fast Lube
Charity Carwash Application
Group Name:______________________________________________________
(As it Reads on the Federal Tax Document)
Contact/Chairperson:_________________________________________________
Address:________________________________________________________________________
(Incl. Street, Street Number, City, State, & Zip)
Work Phone:_______________ Home Phone:_______________
(Area Code & Number) (Area Code & Number)
E-Mail Address:_____________________________________________________
Federal Tax ID Number:______________________________________________
Number of Cards Issued :_____________________________
Starting Date:____________________ **Sale will run for 1 month (31 days)**
How did you hear about the program: ________________________________
Comments:____________________________________________________________________________
** Be sure to include the copy of your Federal Tax Id Document and a copy of the driver’s
license of the person responsible for Charity Cards.