Price Cutter | Giving Program

Price Cutter Donation Application

All organizations who meet our giving guidelines are eligible for this type of donation. However, organizations may only apply for and receive a donation once every six months. To apply for a donation, please complete the fields below or print the PDF application and mail or fax it in. Incomplete applications will not be considered for a donation.

Organization Name

Charitable non-profit 501(c)3 or appropriate tax designation number (Email copy of certificate to: lwaters@pyramidfoods.net)

Street Address

City State Zip

Contact Name Contact Title

Phone Number Fax Number

Email Address

Please check one category that best describes the primary service your organization provides.

Hunger Relief Education Health & Wellness Social Services

Which store do you shop at most frequently?

What type of contribution are you seeking from us? (Please give specifics)

Party Platter(s)/Catering Trays

Product Donation

Gift Card(s)

Other (Please clearly define)

Name Of Event Date Of Event

Event Description (Please give specifics [e.g., Preferred Product(s), Quantity, Date Needed By])

How are you promoting your event?

How many people are expected to attend?

Who will attend your event?

How will you recognize donors?

Price Cutter wants to support our local communities. If your organization is chosen to participate, please assist us in getting the word out about Price Cutter Giving Programs through member newsletters, flyers and press releases.

Incomplete applications will not be considered. You will be notified if your organization is selected.

NOTE: A COMPLETED APPLICATION IS NOT AN AGREEMENT TO HONOR YOUR REQUEST.

Thank you.