Cornwall Centre

Overview

Where will your initiative take place or have an impact?

Are you a Midtown employee?

What type of request are you making?

If you selected “Other”, please specify:

Organization Profile

What type of organization is this? *

Please tell us about your organization mandate

Full Name of Organization *

Address Line 1 *

Address Line 2

City

Province *

Postal Code *

Title

Contact Person – First and last name *

Phone Number *

Email *

Organization Website Address

Other relevant links and/or social media pages

Request Details

Type of Event *

Event Name *

Event Location *

Expected Number of Attendees *

Event Date *

*Due to a high volume of requests, please submit your request as soon as possible – no later than 4 weeks prior to the event date.

How will our donation benefit your organization?

Event Description

Please upload the request document below

Donation Request