Donation Request Form

Complete all sections of the application. Requests are reviewed on an ongoing basis, but in general you should allow 3 to 4 weeks for a response.

Declaration

  • (a) That the information contained in this application is true and correct;
  • (b) That we hereby authorize any duly appointed representatives of PHCDC to obtain from and share with such persons or organizations, public or private, any information necessary to complete their assessment of my application; and
  • (c) I hereby provide my authorization and consent for the PHCDC to utilize any information contained in this application, along with any photographs provided by me for use in conjunction with their operations including the preparation of their annual report, or any other related public disclosure.