Donation Request
Return to:
The Pittsburgh Social Exchange
Mail: P.O. Box 2932,
Pittsburgh, PA 15230
Email: [email protected]
Phone: (412) 265-2315
Fax: (412) 684-9695
We appreciate you thinking of us and wanting to create a partnership; however, we have a large
amount of requests for donations. We fill as many donations as possible each year. We do not
necessarily donate to the same organizations each year to spread the generosity as much as
possible. In addition to donations, we participate in as many activities as we can each year.
We will review each request, and we will notify the contact for the donations that we are able to
grant. Please make your request at least 30 days in advance.
Today's Date: _________________
Event Date: _____________________
Name of the Organization (no abbreviations please): _____________________________________
Contact Name: ___________________________________________________________________
Phone: __________________________ Email: _________________________________________
Event Title: ______________________________________________________________________
What will the donation be used for:
auction
raffle
door prize
Other: __________________________________________________________________________
Location of Event: _____________________________ Local: _____________ Non Local: ________
Recognition to Donors: _____________________________________________________________
501(c)3 # ____________________________________ Date needed by: ______________________
Additional Info: ____________________________________________________________________
________________________________________________________________________________
Email or Fax this form to PSE with your flyer and any other information to the
address below.
The Pittsburgh Social Exchange
Mail: P.O. Box 2932, Pittsburgh, PA 15230
Email: [email protected] - Phone (412) 265-2315 - Fax: (412) 684-9695