Required fields are marked with asterisks (*)

PUC Services Inc. Donation Request

To be considered for a donation, please complete this form.

Name of organization

Street Address

City

Postal Code

Province

First Name

Last Name

Phone Number

Is your organization a non-profit or registered charity?

Yes

Requested item or amount:

Which one(s) of our guiding principals (pillars) does your request fit?

STEM, which includes Science, Technology, Engineering and Mathematics

Employee-Related Causes that include corporate gift matching, and volunteer approval

Health, Safe and Active Lifestyles for Children

Hallmark Community Event Participation

Description of event:

Where and when will the event take place?

Has your organization received funding from PUC Services Inc. in the past?

Yes

What specific benefits/outcomes will be realized with this donation?

When do you need to receive the donation?

Forms