SUPPORT
REQUEST
To be considered for a charitable donation, please complete the form below.
Organization Details
Organization Name:
Street address:
Address line 2:
City:
Postal Code:
Website:
What is the primary focus of your organization?
Please Select
Arts & Culture
Civic
Education & Youth
Environment
Health
Social Services & Poverty Reduction
Sports
Provide a brief description of your organization:
Is your organization a non-profit?
Yes
No
Is your organization registered with the CRA?
Yes
No
Is your organization affiliated with any other international, national, regional, provincial or local organizations?
Contact Person
First name:
Last name:
Title/Affiliation with Organization
Phone number:
Email:
Support Requested
What type of support you are request from Carmen"s Group? i.e. monetary donation, gift certificate, food, corporate sponsorship, volunteering, etc.
Description of what the support will be used for:
What are the benefits of participation to Carmen"s Group?
What specific benefits/outcomes will be realized with this support?
When do you need to receive the donation?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please attach sponsorship details or any other applicable information.
Select File
Cancel
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Event Details (If Applicable)
Event Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Location
Expected Attendance
Is this event:
Local
National
Is this event annual?
Yes
No
Will you be receiving media sponsorship?
Yes
No
Description of event:
Description of advertising mediums that will be used to promote this event:
Please attach event flyer or any other applicable event information.
Select File
Cancel
of
Thank you for taking the time to fill out this form. Due to the high volume of requests we receive, unfortunately we are not able to fulfill all requests. Thank you for your understanding and for your interest in aligning with Carmen"s Group.
Submit
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