Citi Bike Charitable Giving Request Form
Please fill out the following form as a formal request for an charitable donation requests.
Name of individual or organization requesting donation
Contact person at organization
Email address of individual or contact person at organization
Name of organization benefiting from potential Citi Bike donation
Is the organization benefiting from a Citi Bike donation a 501c3 tax-exempt organization?
Note: We cannot consider requests for donations benefiting organizations that are not recognized as 501c3 non-profits. By answering "No" to this question, your form will automatically be submitted.
If yes, what is the organization's tax-exempt ID number?
Where is the organization based?
Note: We cannot consider requests outside the tri-state metropolitan region. By answering "outside the tri-state metropolitan region," your form will automatically be submitted.
Within the Citi Bike service area (Manhattan south of 110th St., Greenpoint to Bedford Stuyvesant, Park Slope, Gowanus, Red Hook, LIC)
Just outside the Citi Bike service area
In Citi Bike Expansion Area
In New York City
In the tri-state metropolitan region
Outside the tri-state metropolitan region
With which of the following does the organization's mission align?
Promotes transit / sustainable transportation
Promotes healthy / active living
Improves New York City neighborhoods
What is the name of your organization's fundraising event, if applicable?
When will it be held?
What, if any, opportunities are available for recognition of a potential Citi Bike donation?
For example, mention in a press release, on a website, in an event program, on social media, etc.
If complimentary Citi Bike memberships are provided, how will they be distributed?
For example, awarded to highest fundraiser, raffled during a silent auction, given to a board member, etc.
Has this organization received a donation from Citi Bike in the past?
Yes, last year
Yes, this year
I don't know
When using the Citi Bike brand, please be mindful of the correct spelling of the company. If you would like the appropriate version of the brand/logo to use for your event; please contact Anthony Rosado at
for a sublicense agreement.
Please provide any additional information you'd like to include.
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