Nomination Form

ONLINE OR OFFLINE CHARITY NOMINATION

If you want to fill out the Charity Nomination form online, use the online form below and submit it.

If you want to fill out the Charity Nomination form offline, use the PDF form below the online form by clicking on the PDF Icon, a new window opens where you can download the PDF form.

CHARITY NOMINATION

This form is to be submitted at least one month before a scheduled meeting to confirm eligibility of the nominated organization. Once eligibility is verified, the charity will be added to our list of pre-qualified charities eligible for presentation and funding consideration at the next, and future meetings. The Nominating Member must be current with their donation to the previously chosen charity at the last member meeting.

Nominating Member's First & Last Name

Nominating Member's Email

Nominating Member's Phone Number

Nominated Organization's Name

Contact Person's Name at Nominated Organization

Contact Person's Phone Number

Contact Person's Email Address

Nominated Organization's Address

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Nominated Organization's Website

Nominated Organization's Registered Non-Profit TAX ID Number

OFFLINE NOMINATION FORM

CLICK THE PDF LOGO TO DOWNLOAD THE DOCUMENT

Completed Charity Nomination Form can be scanned and sent via e-mail to 100mensgb@gmail.com .

100 MEN WHO CARE SOUTHERN GEORGIAN BAY

Nomination Form

CHARITY NOMINATION

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