Sponsorship Form – APEX UTILITIES INC

Applicant Name *

Title/position or affiliation to organization:

What is your relationship with Apex Utilities Inc., if any? *

Phone *

Applicant's Email *

Have you spoken with anyone at Apex Utilities Inc. about this application?

Yes

If yes, provide the name of the employee:

Is your organization funded by the United Way? *

Yes

If yes, Apex Utilities Inc. is proud to be a significant contributor to the United Way. As such, we do not provide additional funding to organizations that receive United Way funding.

Describe the programs and services your organization provides (or attach a description when submitting this form).*

Website address of your organization:

Name of the beneficiary organization (if different from above):

(Include the legal name and address as you would require on a cheque.)

Address:*

City/Town:*

Province:*

Postal Code:*

Name of project/event/initiative:*

In which area is your project or initiative primarily focused?*

Indicate type of business or association:*

For a registered charity, include your CRA Charitable Registration Number:

Is your project located in an Apex Utilities Inc.’s operational area?

Type of donation requested:*

Funding amount requested:*

Deadline to receive donation:*

Has Apex Utilities Inc. donated to or sponsored your organization before?

If we provide funding for your organization, how will it be recognized?

Attach any additional files here to provide detail beyond what has already been covered in this submission.

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Applicant Name*

Title/position or affiliation to organization:

What is your relationship with Apex Utilities Inc., if any?*

Phone*

Applicant's Email*

Have you spoken with anyone at Apex Utilities Inc. about this application?

Yes

If yes, provide the name of the employee:

Is your organization funded by the United Way?*

Yes

If yes, Apex Utilities Inc. is proud to be a significant contributor to the United Way. As such, we do not provide additional funding to organizations that receive United Way funding.

Describe the programs and services your organization provides (or attach a description when submitting this form).*

Website address of your organization:

Name of the beneficiary organization (if different from above):

(Include the legal name and address as you would require on a cheque.)

Address:*

City/Town:*

Province:*

Postal Code:*

Name of project/event/initiative:*

In which area is your project or initiative primarily focused?*

Indicate type of business or association:*

For a registered charity, include your CRA Charitable Registration Number:

Is your project located in an Apex Utilities Inc.’s operational area?

Type of donation requested:*

Funding amount requested:*

Deadline to receive donation:*

Has Apex Utilities Inc. donated to or sponsored your organization before?

If we provide funding for your organization, how will it be recognized?

Attach any additional files here to provide detail beyond what has already been covered in this submission.

Accepted file types: txt, doc, docx, pdf, Max. file size: 12 MB.

Comments

Captcha*

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Request For Sponsorship

If yes, Apex Utilities Inc. is proud to be a significant contributor to the United Way. As such, we do not provide additional funding to organizations that receive United Way funding.

(Include the legal name and address as you would require on a cheque.)

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