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Community Investments Form

Request

Type of Request: *

What is the value of this request: *

Enter a specific amount *

What is included with this investment: (include any banners, advertising, sponsor recognition, target audience/attendance numbers etc to support our decision to fund this initiative)

What Province is your initiative or event in: *

What Community will your initiative or event have an impact on? *

Blind River
Bowmanville
Chapleau
Cochrane
Concord
Elliot Lake
GTA
Kelowna
Manitoulin Island
Nairn Centre
Other
Owen Sound
Sault Ste. Marie
Thessalon
Timmins

If other, specify community:

Select the area of interest for your program or event: * McDougall Energy Inc concentrates support in a few key areas; sports, health, education, green initiatives and community programs; and engage in initiatives that align community needs with our business interests.

Sports
Health Education
Community
Green
Other

If other, specify area of interest:

Have you spoken to anyone at McDougall regarding this application? *

Yes
No

If 'Yes', please state the persons name: *

Organization/Group Information

Organization or group name: *

What type of organization/group is this: *

Specify type of organization or group: *

CRA Registration Number

Business Registration Number

Sport organization name: *

Contact name: *

Position of Contact *

Sponsorship page

Contact Information

Name: *

Primary phone number: *

Secondary phone number:

Email address: *

Address 1: *

Address 2:

City *

Province: *

Postal Code: *

Website:

Upload: If any, upload documentation to supply additional information to support this application

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