Request Form

Legal name of the organization *

Donation request *

DONATION REQUEST

Adress *

City *

Postal Code *

Registration number with the Canada Revenue Agency *
(This 9-digit number must be completed by the following letters and numbers: RR0001)

Head of the agency *

Position *

Phone *

Fax

Email *

Website

Person responsible for the application *

Position of the person responsible for the application

Phone of the person responsible for the application *

Email of the person responsible for the application *

Mission of the organization (maximum of 10 lines of text)

Type of request *

Your last annual report of activities *

Your last annual financial report *

Your budget for the current year (revenues and expenses)*

If you ask for a donation for a specific project *

The detailed project budget (income and expenditure) *

I would like to:

Activitie(s) or service(s) planned