Charitable Donation Request Form

To request tickets to the Lancaster Science Factory, please fill out the form below.

Thank you.

Fill out the form to apply for tickets for your charitable event's silent auction or raffle!

Organization Name*
Organization Address*
Street Address Address Line 2 City State ZIP Code
Contact Name*
First Last
Daytime Phone*
Email*
Type of Event*
- Auction
- Bingo
- Walk
- Raffle
- Gala
Event Date*
Time of Event

: HH

MM
Location of Event*
Description*
Please describe how this organization and event relates to the Lancaster Science Factory's mission of creating an environment for learning which helps children develop curiosity, think creatively and build confidence as they learn the principles of science and the application of science in engineering and technology.
Attach file
Drop files here or

Accepted file types: doc, docx, pdf, jpg, png, gif, .
Feel free to attach your donation letter here. (Optional)
All approved ticket donations will receive the following: 4 tickets for general admission to the Lancaster Science Factory during normal operating hours. Value: $34.00

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