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Charity Nomination Form
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* Indicates required question
Name of Charity
*
Your answer
Address of Charity
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Website
*
Your answer
Mission Statement
Your answer
What population does the organization serve?
*
Your answer
The donated funds would be used to
*
Your answer
The organization's current sources of funding are
Your answer
The organization is a registered not-for-profit/charity able to provide tax receipts.
yes
no
Clear selection
If selected, someone from the organization will be available to speak at our next meeting to describe the impact of the donated funds.
yes
no
Clear selection
If selected, cheques should be made payable to
Your answer
Nominating Member
*
Your answer
Nominating Member's email
*
Your answer
I certify that, to the best of my knowledge and belief, the statements provided are true and correct.
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