Nominate a Charity old

100 Women Who Care Red Deer
Charitable Organization Nomination Form


Nominating Member’s Name:

Name of Organization you are nominating:



Mission Statement:

The organization serves the following population:

The donated funds will be used to:

The organization’s current sources of funding are:

The organization is a registered not-for-profit/charity and is ale to provide tax receipts. YES / NO (If no, see below)

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

The organization agrees not to sell, give away, or use, the 100 Women Who Care Red Deer members’ contact information for solicitations. YES / NO

What percentage of donations is used for administration costs?

If selected, cheques should be made payable to:
*If the organization you are nominating is not a registered charity, please provide the name of the not-for-profit organization that will be sponsoring the organization with their charitable organization number.

Sponsor Name

Sponsor Charitable Registration #: