Donation Form

Donations Application Form
Name
Name of Organization
Contact Information
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address
City
Province/Territory
Postal Code
Expression of Interest

Note: Please refer to the GTC Donations Policy found here: https://www.gwichintribal.ca/policies.html
Which of the GTC Donation Policy Objectives does this request support (see Donations Policy Guidelines)?
If other, briefly describe objective.
Which of the GTC stated priorities does this request meet (see Donation Policy Guidelines)?
If other, briefly describe priority.
Background information on the organization requesting a donation:
A summary of the project for which funds are being requested:
Benefits and results anticipated:
Budget information for the program or project:
Information on other sources of project support and financing:
Description of recognition the GTC will receive (advertising, announcements at event, banners, etc.):
Signature
Date

MonthDayYear
Date
Should be Empty:

Donations Application Form