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Nominate a Charity
Nominate a Charity
Gore Mutual
February 13, 2019
February 22, 2021
The next nomination deadline is April 26, 2021
Submit your nomination below!
WHICH OF OUR STRATEGIC FOCUSES IS BEST ALIGNED TO YOUR CHARITY?
*
Social Equality
Thriving Communities
IS YOUR BROKERAGE MATCHING THE AMOUNT BEING REQUESTED?
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Yes
No
BROKERAGE CONTACT DETAILS
Contact Name
*
First
Last
Brokerage Name
*
Contact Email Address
*
Primary Contact Number
*
CHARITY DETAILS
Charity name
*
Address
*
Street Address
City
Province *
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Charitable Registration #
*
Amount Requested
*
HOW WILL THE GRANT BE USED TO STRENGTHEN YOUR COMMUNITY?
*
*
I'm authorized to submit this nomination on behalf of the brokerage.