Donation Request Form

Please complete the following application form.
*required fields

* Name of Chartiy:
Name of Company organizing Charity Event (if different from above)
Address:
City:
 Province:
 Postal Code:
* Contact Name:
* Contact Telephone:
 Contact Fax:
* Contact Email:

Request Details:
1. The nature of the request: organization, or fundraising beneficiary:
2. Contact information: (of the person making the request) Phone number, fax number, email and address if applicable.
3. Short description of event (ie. Fundraiser, Tournament):
4. Actual Date of Event, Program or activity requiring support:
5. Is this an Annual Event (if so # of years):
6. Location of Event:
7. Estimated Number of Attendees:
8. Any available demographic information about the attendees:
9. Is there a charge for people to attend:
Yes Price$:
   
No
10. Are you expecting Media coverage or sponsorship? Please list below:  
 
a. Radio:
b. Print:
c. Television:
d. Web:
11. Will you provide profile for Grouse Mountain Resort in any printed materials (event programmes, advertising etc.) Yes (if so, please list)