Corporate Giving Request Form

Corporate Giving Request Form
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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:

Registered Charity Non-Profit Organization Information

Organization Name

Address:*

Address 2:

City:*

State or Province:*

Country:*

Main Phone Number:*

Organization Focus:

Donation Type

Is your request Monetary or In-Kind?*

Monetary Amount OR 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:*