Bicycle X-Change: Donation Request

The Bicycle X-Change is proud to be able to make donations to various events and charities. If you would like to request a donation, please fill out the form below at least 30 days prior to date needed. Make sure to include as much information as you’re able. We will review and respond to each request in a timely manner.

Organization Information
Organization Name:
Tax ID #
Email*
Contact Phone:
Contact Name:*
First Last
Address:*
Street Address City State / Province / Region ZIP / Postal Code
Donation Request
What kind of a donation are you requesting?*
How will the donation be used?*
Event Information (if applicable)
Is this donation for a specific event?*
- Yes
- No
Event Date
Month
Day
Year
Please provide a short description of the event
Will Bicycle X-Change's Logo/Name be printed or listed in material?
- Yes, Logo
- Yes, Name
- Yes, Name & Logo
- No
Expected Attendance
Ticket price
Event Location
Street Address City State ZIP Code
Name
This field is for validation purposes and should be left unchanged.

Main Store – West

Recycling Headquarters – East

Bicycle X-Change: Donation Request

Organization Information

Donation Request

Event Information (if applicable)