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Donation Requests
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Donation Requests
Donation Request
Donation request form
Organization’s Name
(Required)
Mailing Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Province
Postal Code
Telephone
(Required)
Contact person's name
(Required)
First
Last
Telephone
(Required)
Email
(Required)
Section B - Application Summary
Your request is for
(Required)
One activity / event
Activities for the year
Note that only one donation will be given per application / organization per year.
Amount Requested
(Required)
If the amount is more than the amount previously given, please justify
Name of activity or list of activities
(Required)
Description of activity / activities’ summary:
(Required)
Activity Start Date
(Required)
MM slash DD slash YYYY
Location of activity / activities
(Required)
Is admission free?
(Required)
Yes
No
Other
If yes, what is the admission fee?
Describe how The Nation will be recognized during your event(s)?
(Required)
If the amount requested is more than $1,000.00, please explain how the money will be used. A financial report may be requested by Council.
If applicable, the organism consents to sending a report to The Nation Council
(Required)
Yes
No