Event/Donation Drive Application

If you have any questions about the event/donation drive application, please contact Nicole Koch, Events Coordinator at nkoch@humanepa.org or 610-750-6100 ext. 232.

Name or Group Hosting Event:

Contact Person:

Address (Include City, State, and Zip Code):

Phone:

Email:

Website (if applicable):

Event Name:

Type of Event:

Date of Event:

Event Location:

Event Location Address:

Brief Description of Event:

Fundraising Goal:

If you're hosting a donation drive, will you be dropping items off at our Berks or Lancaster Campus?

Are there any other charities receiving funds from this event/fundraiser?

How are you planning to promote this event?

Do you expect to involve media?

Please note if you responded "yes" to the questions above, your materials must be approved by a Humane Pennsylvania representative before distribution. The Humane Pennsylvania logo and name are registered trademarks and may not be used without permission.

Are you inquiring if animals can be at your event?

Please note if you responded "yes" to the questions above, that someone will contact you with more specific questions. Animals cannot be guaranteed for any event due to the nature of being an animal shelter.

Do you require any supplies or assistance from Humane Pennsylvania? If yes, please list below.

Click HERE to download a PDF version of our Event/Donation Drive Application. Please complete the form and email it to Nicole Koch, Events Coordinator, at nkoch@humanepa.org or mail it to her attention at 1729 N. 11th St., Reading, PA 19604.