D4URS_2018_Check Request Form PDF.pdf


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Drive 4 UR School Check Request Form

Congratulations on completing a Drive 4 UR School event! We hope that your experience was an exciting and rewarding one. In order to fulfill your donation in a timely manner, we ask that you print, complete and return this check request form with your waivers. It is recommended that you return the forms via a reliable shipping service such as FedEx or UPS, and obtain a tracking number for your records. Please remember that we cannot cut checks to the dealership or an individual. Also, checks cannot be sent to a P.O. Box and will only be issued to one school. However, we are happy to have the check delivered to either the dealership or the school at your discretion. Please allow 6-8 weeks for delivery. Thank you for your participation! Total # of D4URS waivers returned: _______ Make payable to: ____________________________________________________ Memo (if needed): ____________________________________________________ Mail check to: ____________________________________________________ Attention: ____________________________________________________ (No P.O. Boxes) ____________________________________________________ ____________________________________________________ Return all documents: Latitude Digital 806 S Public Rd Suite 202 Lafayette, CO 80026 Questions? Call Program HQ at 888-908-3673