PART 1 - Organization and Contact Information

1. I have read and fully understand the Molson Philanthropy and Exclusions sections. It is extremely important that you read this prior to moving forward to ensure that your project fits within our criteria. If you answer no, you will be redirected to review the required information.
Yes
No

2. Who is the primary contact for this request? Please include his or her title/position within the organization.
Name:   *
    *
Title:   *

3. Please list all vital contact information.
Legal Name of Organization   *
Other Name of Organization (if applicable)  
Year of Organization's Founding   *
Street Name:   *
P.O. Box (if applicable):  
City:   *
Province:   *
Postal Code:   *

Direct Telephone Number
(including area code):		   () -*
Fax Number:   () -*

E-mail address:   *
Web Address:   *
 
    
* Indicates a required field