Donation Application - Price Cutter

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.

Organization Name

Charitable non-profit 501(c)3 or appropriate tax designation number

Click here to email a copy of your certificate

Contact Name

Contact Title

Phone Number

Email Address

Street Address

City

State

Zip

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

Hunger Relief

Education

Health & Wellness

Social Services

What store do you shop 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?

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