Birchwood Community Support Form

Contact Information

Please provide the contact information for the primary person responsible for funding and sponsorship.

First Name*

Last Name*

Email Address*

Enter Email Confirm Email

Phone Number*

Do you have any association to Birchwood?*

I am a Birchwood Customer
I am a Birchwood Team Member
No
Other

Please Describe*

Which location are you requesting support from?*

If unsure, select Birchwood.

About Your Organization

Organization Name*

Website

(if applicable)

Address*

City*

Province*

Postal Code*

What type of organization is this?*

Enter CRA Number*

Please Describe*

Brief Description of Organization*

(Max 100 characters)

Has your organization received support from Birchwood before?*

Yes
No

Please describe*

About Your Project

What type of support are you requesting?*

Check all that apply

Financial Sponsorship
In-Kind Donation
Volunteers
Other

Please Describe*

Amount Requested*

Sponsorship Level

(if applicable)

Is there an event associated with your request?*

Golf Tournament
Gala Dinner
No
Other

Please describe*

100 words or less

Name of Event*

Project or Event Date*

Location of Event*

Upload Your Sponsorship Package (if applicable)

We accept PDF files under 5MB

Accepted file types: pdf, Max. file size: 6 MB.

If you would like to add any additional information, please enter it here:

0 of 1000 max characters

Name

This field is for validation purposes and should be left unchanged.

Birchwood Community Support Form

Contact Information

About Your Organization

About Your Project

Quicklinks

Locations