Great Canadian Gaming Sponsorship - Donation Application Form

Submitted To : Great Canadian Entertainment

Like to find out if Great Canadian can support your organization? Please fill out and submit this application form.

* 1. Name of organization/charity:

* 2. Is your organization a registered charity?

Yes
No

3. If Yes, please provide the charity license number:

4. If No, what kind of organization are you? (School PAC, Not-for-profit Org, Community Group, etc.)

* 5. Contact Information:

*Contact Name:

*Contact Title:

*Contact Telephone Number:

*Contact Email Address:

* 6. Mailing address of organization / charity:

*Street address:

*City / Town:

*Province:

*Postal Code:

* 7. Main telephone number for organization / charity

8. Website link (if applicable):

* 9. Are you seeking:

DONATION
SPONSORSHIP
OTHER

If OTHER, please describe:

* 10. Please specify the amount or value of your request:

11. Have you received a donation from Great Canadian Gaming Corporation or any of the following properties in the past? Do you have a current request in at other properties?
Please indicate which ones:

Past Support

Current Support

12. When & what type of support did you receive in the past or what support request do you already have under consideration, if any?

* 13. Please provide a brief description of your organization:

* 14. Please provide a brief description of the event/program for which you are seeking a donation/sponsorship: