Submitted To : Elements Casino Brantford
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?
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:
* 6. Mailing address of organization / charity:
* 7. Main telephone number for organization / charity
8. Website link (if applicable):
* 9. Are you seeking:
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:
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: