Join us on Facebook! Join us on Twitter!
About Us

Involvement Form

Buchheit has a long and proud tradition of partnering with organizations that give back to those in need.   Please fill out the form below to request a donation for your local community project.  A team member will be in contact with you very soon!

First Name
Last Name
Contact Email
Contact Phone
Organization name
 What is your relationship to the organization?  
 If incorporated as Non-profit, what state?  
 Has the IRS granted Tax Deductible Status for Gifts?  
 Federal Corporate ID Number  
 Is the organization registered with the Better Business Bureau?  
 How often do you or the organization shop at Buchheit?  

 Under what name do you purchase from Buchheit?  
 Prefered Buchheit Location  
 We seek a(n)  

Total dollar amount requested
 If Advertisement, what size?  
Event Date/Deadline for advertisement
How many people will be impacted by this contribution/event? Tell us how it will benefit our community.
 Would your organization/event benefit from Buchheit supplying nail aprons? If so, how many would you need?  
We last applied for support on (date):
How did you hear about Buchheit's Contribution Request form?
If you know any of our Team Members, please list their names here and how you know them.  
 Please allow three (3) weeks from submission for processing.