Charity Nomination Form

Please submit this form at least two weeks prior to the next event. Once our Leadership Team verifies eligibility, it will be added to our list of pre-qualified charities for presentation and funding consideration.

Please note that only Members of 100 Women Who Care Toronto West are able to submit nominations. The nominating member or the charity representative may present at the meeting.

To become a Member, join here.

Date

YYYY

Team Name (If Applicable)

Member Name

First Name

Last Name

Member E-Mail

Charity Name

Charity Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Charity Contact

First Name

Last Name

Charity Contact Phone

(###)

###

####

Charity Contact E-Mail

Charity Website

http://

Charity Status

Please note that only registered charities (i.e. those with a Tax ID) are eligible for donation consideration.

This is a registered charity

Charitable Registration No.

Who will be presenting?

Option 1 : member presenting

Option 2: charity contact listed above has been notified and is available to present at the meeting