Nominate A Charity Organization Nomination Form Nominating Member * Nominating Email * Name * Address Organization Address Website * Mission Statement The Organization serves the following population: * The donated funds would be used to: The Organization’s current sources of funding are: The Organization is a Registered Charity and able to provide tax receipts * Yes No Organization Charitable Registration Number Organization Charitable Registration Number: If selected, someone from the Organization will be available to speak at our next meeting to describe the impact of the donated funds * Yes No If selected, cheques should be made payable to * Website/URL for online donations: