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Corporate Giving Request Form
Corporate Giving Request Form
Please complete this application at least sixty (60) days before the event, program or project commences. (ALL fields must be filled in to submit).
*
Indicates fields are required for submission
corpgivingform_WCL
Corporate Giving Request Form
Charitable Registration Number in Canada:
OR
EIN Employer ID Number in U.S.:
Organization OR Event Type
Which category does your organization or event fall under:
--Make Selection--
Health
Environment
Community Enrichment
Arts & Culture
Registered Charity Non-Profit Organization Information
Organization Name
Address:*
Address 2:
City:*
State or Province:*
-- Make Selection--
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Country:*
Main Phone Number:*
Organization Focus:
Donation Type
Is your request Monetary or In-Kind?*
--Make Selection--
Monetary
In-Kind
Monetary Amount OR In-Kind Donation:*
Enter maximum possible amount requested OR give description of In-Kind donation
Event name:*
Brief Description of Event:*
Date Contribution Needed:*
Date must be at least 60 days from date of application
Names of other Sponsors/Donors and amounts pledged or donated:
Requestor Information
Requestor Name:*
Requestor Email Address:*
Requestor Daytime Phone:*
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