Nominate a Charity

Nominate a Charity
Member name: *

First Name Last Name
Member email: *
example@example.com
Member phone number: *

- Area Code Phone Number
Name of nominated charity: *
Charity contact name: *
Charity contact phone number: *

- Area Code Phone Number
Charity contact email: *
example@example.com
Charity website: *
Charity's mission statement:
Who does the charity serve? *
What would the donated funds be used for? *
Charitable registration number: *
If selected cheques should be made payable to: *
Does the charity know we will be contacting them? *

Yes No
Is the organization a registered not-for-profit? *

Yes No
Expectation of winning charity include *

Ability to speak at our next meeting Will not use database for any purpose but tax receipting Charity will not solicit our members in the future
Should be Empty: