Download the Form: Donation Application | Bagging for Charity Handout

Or fill out the online application Below:

Priority is assigned based on the following factors:

1. Merit: To what extent does the request benefit the community?
2. Proximity: Does the donation help the communities where our customers live?
3. Our Customers: Is the person(s) and organization a customer of Gerrity’s?
4. Fair Share: Have we already made a recent donation to your cause or organization?

In order to be considered:

The form must be completed in its entirety.A written request on your organizations letterhead must be attached. Requests must be submitted at least two weeks in advance.

Person(s) Making the Request:

1. Name(required)
2. Gold Card Number(required)
3. Phone Number(required)
4. Name
5. Gold Card Number
6. Phone Number
7. Name
8. Gold Card Number
9. Phone Number

Organization Making the Request

1. Name of Organization(required)
2. Address(required)
3. Phone Number(required)
4. Tax ID Number
5. Gold Card Number
6. If no organization, please list an address where donation should be sent.

Other Information

1. Cause Fundraising Event:
2. Who will benefit from the donation:
3. Additional Information:

 

cforms contact form by delicious:days

How to Submit:
E-mail to:    kathy.flaherty@gerritys.com
Drop Off:    Bring your request to the service desk at any Gerrity’s location.
Mail:           Gerrity’s Donations – 950 North South Rd. Scranton PA, 18502