Program Request Application

Preference is given to programs that serve multiple
communities in our service area.

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Phone Number* Email*
Is your organization a 501(c)(3) registered non-profit organization?*
Please select Community Program*
Organization Mission*
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Description of Program*
Is this a recurring event?*
Will this program run without UGI's support?*
Please note if a UGI employee is actively involved in your organization.
Please attach W-9 Form*
Supporting Documents