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Charitable Donations & Sponsorships
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About Your Organization
Name of Organization: *
Website: *
Tax registration or official designation number: *
Organization Range: *
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Type of Organization: *
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Other:
Contact First Name: *
Contact Last Name: *
Contact Title: *
Contact Phone: *
Contact Email: *
Mailing Address: *
City: *
Province/State:
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About Your Request
Amount of Funds Requested: *
Type of relationship to us
(e.g. purchased home, employee, family, etc.):
*
Have you received funding from us before?: *
No
Yes, once
Yes, twice
Yes, three or more times
If the donation will be used/related to an event please specify what event it is for: *
What date does the donation need to be received by: *
What will the donation be used for?
How will we know the money has been used effectively?
How do you plan to acknowledge our company?
What sets your organization apart from similar organizations?
Please give examples of how you have used donation money in the past effectively?
Please list at least three other companies who have donated to your organization in the past with a contact name, phone number, and email to be used as a reference.
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DONATION FORM
ABOUT US
CAREERS
Head Office 1 Barrie Boulevard
St. Thomas, Ontario N5P 4B9
519.633.2050
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