Charity Nomination Form
Please use the form below to nominate your charity or non profit group
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Member Full name
Name of Charity
Website of Charity
Address of Charity
Charity Contact Name
Charity Contact Email
Charity Contact Phone
Charity Charitable Number
Charity Mission Statement
How will donated funds be utilized?
Charity's current source of funding?
If the Charity serves areas outside Halton Hills, provide details
Charity is registered and can provide tax receipts to our members.
If choosen, someone from the charity can/will attend next meeting to present how funds are utilized?
Charity agrees not to sell/use Members personal information for solicitations
I agree to terms and conditions outlined in the rules and regulations
Rules and Regulations
Nominate
100MenWhoCareHaltonHills@GMAIL.COM