Donation Request Form

Donation Request Form

Manheim Township Recreation Department
Submitter Name*

First NameLast Name
Organization *
Do you have 5013c/non-profit status? (If so, please enter numbering below)
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Donations from Manheim Township typically include single-use passes or access.

Some examples include:

Day passes to a skate session at Overlook Activity Center

Day passes to Skyline or Overlook Pool
What type of donation are you requesting? *
When do you need the donation to be provided?*
Please provide an overview of why you are requesting a donation. What will the donation be used for? *
Please upload a formal letter of request with your organization's letterhead. Please include a mailing address for the organization, if applicable. *

Cancelof
If approved, I would be able to pickup a donation at Stauffer Mansion (1241 Lititz Pike) during business hours M-F 7:30-4:30pm.*

Yes, I could do thatNo, I would need the vouchers mailed
Contact Alex Gordon at agordon@manheimtownship.org with any questions.

Requests may take a few weeks to process.
Should be Empty:

Contact Alex Gordon at agordon@manheimtownship.org with any questions.