Great Canadian Gaming Sponsorship - Donation Application Form

Submitted To : Hard Rock Casino Vancouver

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:

*Contact Name:
*Contact Title:
*Contact Telephone Number:
*Contact Email Address:

* 6. Mailing address of organization / charity:

*Street address:
*City / Town:
*Postal Code:

* 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:

Past Support
Current Support
River Rock Casino Resort (Richmond, BC)
Hard Rock Casino Vancouver (Coquitlam, BC)
Hastings Racecourse and Slots (Vancouver, BC)
Elements Casino (Surrey, BC)
Elements Casino Victoria (Victoria, BC)
Nanaimo Casino (Nanaimo, BC)
Chances Dawson Creek (Dawson Creek, BC)
Maple Ridge Community Gaming Centre (Maple Ridge, BC)
Chilliwack Bingo (Chilliwack, BC)
Corporate Donation – Head Office (Richmond, BC)
Shorelines Casino Peterborough (Fraserville, ON)
Shorelines Casino Belleville (Belleville, ON)
Shorelines Casino Thousand Islands (Gananoque, ON)
Casino New Brunswick (Moncton, NB)
Great Canadian Casino Resort Toronto (Woodbine, ON)
Casino Nova Scotia (Halifax, NS)
Casino Nova Scotia (Sydney, NS)
Casino Ajax (Ajax, ON)
Great Blue Heron Casino (Port Perry, ON)
Elements Casino Brantford (Brantford, ON)
Elements Casino Flamboro (Dundas, ON)
Elements Casino Grand River (Elora, ON)
Elements Casino Mohawk (Cambelville, ON)
Pickering Casino Resort (Pickering, ON)

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: