Charitable Contribution Requests


haos Room  is pleased to accept charitable contribution requests for services throughout the year. If you are an educational, governmental or non-profit agency, we encourage you to fill out the form below and return your request to our facility. Please understand that we receive dozens of requests each week and are sadly unable to fulfill all requests.

Our process for awarding gift certificates, parties, etc. is simple:

Please complete and return this form via USPS mail to:

Chaos Room ATTN: Charitable Contributions, 894D S Main Street Centerville, OH 45458

Or if e-mailing, please complete and return this form to using “Charitable Contribution Request” as your subject line.

All received items will be reviewed by the 20th of each month.

Contribution Requests that are approved will be processed and the individual submitting that request will be notified to visit the Chaos Room to accept the donation. We apologize but due to the high level of requests, Contribution Requests that are denied will not receive any form of notification. Furthermore, we apologize for the inconvenience, but Chaos Room is unable to provide the status of a charitable request over the telephone.

Please click here to download a Charitable Contribution Request form. Hard copies are available for pick-up at the Chaos Room as well.  Please understand that Charitable Contribution Requests will not be processed without proper completion of the request form.

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