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Donation Form
* Indicates a required field
First Name
*
Last Name
*
Organization Name
*
Contact Me by
*
Email
Phone
Email
Phone
Zip Code
*
Is this a 501 (c) (3) charity?
*
Please Select
Yes
No
Does this request qualify for PA Educational Improvement Tax Credit (EITC)? Not required for consideration
*
Please Select
Yes
No
If Yes for EITC, please select from the below
EIO
SO
PSKO
Narrow down request type
*
Please Select
Financial donation
Vehicle donation
Volunteer hours
Product donation (ex: gift cards)
Other
Comments
Would you like to receive SMS notifications from Ciocca Automotive?
Yes, I agree to receive marketing and promotional SMS messages from Ciocca Automotive, including special offers, exclusive incentives, event invitations, and dealership news.
Yes, I agree to receive informational and transactional SMS messages from Ciocca Automotive, such as appointment reminders, service updates, vehicle status notifications, and important account-related information.
By providing your mobile number and checking the above boxes, you agree to related text messages from Ciocca Automotive at the phone number you provided when signing up. Reply STOP to unsubscribe, Reply HELP for help. Message frequency varies. Message & data rates may apply. Consent is not a condition of purchase. For more information, please review our
Privacy Policy
and
Terms of Service
.
No, I do not want to receive SMS notifications from Ciocca Automotive.
Send Message
We will reach out via email if we decide to proceed with the donation.