Program Request Application – West

Bedford, Harrisburg, Huntingdon, Lancaster, Lewistown, Oxford, Shippensburg, or Waynesboro Area

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

After filling out the form below, you may be contacted by your local Community Relations Manager to provide supporting documentation we may need to process your request.

Name of Organization

Street Address

City

State

ZIP Code

Contact Person

Phone Number

Is your organization a 501(c)(3) registered non-profit organization?

Yes No

Please select Community Program

Organization Mission

Amount of Gift Requested

Description Program

Is this a recurring event?

Yes No

Will this program run without UGI's support?

Yes No

Please note if a UGI employee is actively involved in your organization.

Emergency Information

Have an Emergency?

Electric Information

Have an Emergency?

Emergency Information

Have an Emergency?

How can we help you?

Program Request Application – West

Bedford, Harrisburg, Huntingdon, Lancaster, Lewistown, Oxford, Shippensburg, or Waynesboro Area

Emergency Information

Have an Emergency?

Electric Information

Have an Emergency?

How can we help you?

Log Into Your Account

Emergency Information

Have an Emergency?

How can we help you?

Log Into Your Account

Program Request Application – West

Bedford, Harrisburg, Huntingdon, Lancaster, Lewistown, Oxford, Shippensburg, or Waynesboro Area