Donating your product or service can have many benefits, but most of all - you will be helping The BCCID support our goals in helping The Center for Independent Living of Bucks County.

If you have a product or service that you would like to donate, please complete the form below, or you may contact PERSON direct at:

The first $25. of the proceeds of your donated product/service will secure your BCCID Membership, you will be listed on our sponsors page, along with your donated product / service, your company's product / service will also be published in our semi-annual newsletter that we send to all of our members as well as posting to our website.

Please complete the form below:

Your Name:	A Name is required.
Company:
Address:	An address is required.
City: A city is required.State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY A state is required.Zip: A value is required.
Phone	A phone number is required.
Email	A value is required.Please enter valid email.
I would like to donate Product Service
Description of Product / Service: