Donation request form

Name of the organization*

Website

Address*

City*

Province*

Postal Code*

Phone*

Do you have a registration number? If so, please enter it

Do you have charitable status?* Do you have charitable status?* Yes No

Do you have non-profit status?* Do you have non-profit status?* Yes No

Description and mission of your organization*

First and last name of contact person*

Email*

Title*

Phone*

Name of the project or event*

Location of the project*

Start date*

End date

Description of the project*

Amount requested*

Main partners already involved*

Message