Request a donation

Please complete the online form below and submit. Note: Your completed application must be received at least 30 days in advance of your donation deadline to be considered. It is not necessary to send a procurement form. Please submit your request at least 30 days before your procurement deadline. Donation requests are limited to $100 in value per instance. Please select your neighborhood location and refrain from submitting requests to multiple stores. Donations must be picked up by a member of the recipient organization in person at the PCC store location selected.

Please note that Ballard PCC is unable to accept additional requests for the remainder of 2025.

Please read PCC’s donation guidelines prior to filling out application.

Your contact information
Name*
First Last
Phone*
Email*
How are you involved with this organization?*
Organization information
Organization name*
EIN*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Organization's purpose or mission statement*
Donation information
PCC Store*
Choose the PCC store that you are requesting a donation from.
Date needed*
Date should be at least 30 days from today.
MM slash DD slash YYYY
Item requested*
Detailed description of what you are requesting a donation for*
In detail, how will PCC's donation be used?*
Guidelines*
- I have read and understand the guidelines for a donation request.
Name
This field is for validation purposes and should be left unchanged.

Request a donation

Your contact information

Organization information

Donation information