Donation Requests - The Nation

Donation Request

Organization’s Name(Required)

Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Telephone(Required)

Contact person's name(Required)

First Last

Telephone(Required)

Email(Required)

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)

Location of activity / activities(Required)

Is admission free?(Required)

Yes

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