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2. 
3. Help Us Memorialize Port Providence

   Upper Providence Township is working to create a collection of items to memorialize the Village of Port Providence and its contribution to the history of Upper Providence Township.  We are actively seeking the donation of photographs, documents, correspondence, textiles, souvenirs, household goods, and other personal items that may contribute to the collection.  

   Residents are encouraged to contact Bryan Bortnichak, Assistant Township Manager at bbortnichak@uprov-montco.org with any historical items you would like to donate or use the form below to let us know about the item or to upload historic photos.

5. Name*
6. Email Address*
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
16. Please tell us about your donation

    What is the item donation? Images may be scanned and uploaded below.

18. Would you like your donation to be anonymous?*

    1. Yes
    2. No
19. If you replied "No" to the previous question, how would you like the donation credit to read?

    For example: Donated by the Smith Family

21. Please upload your historic photo (if you have one)
22. Additional photo upload
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field