Thank you for purchasing a new Honda vehicle from your Kansas City Honda Dealers. For every new vehicle purchased, we will be making a donation to a local Kansas City charity to support the community. Please help us direct our giving by completing the form below.

First Name:*		Last Name:*		Email Address:*

When did you purchase a new Honda vehicle?*		Where did you purchase a new Honda vehicle?*
		Dale Willey Honda Honda of Olathe Honda of Tiffany Springs Jay Wolfe Honda Lee's Summit Honda Legends Honda McCarthy Honda Other

Which new Honda model did you purchase?

Year:*		Model:*

Please select the charity of your choice
KC Pet Project
Ronald McDonald House Charities
Veterans Community Project

Thank you for your recent Honda purchase and helping us support our local community