Corporate Partnership Registration

Name of contact person:

Email of contact person:

Day-time telephone # of contact person:

Mailing address of organization, for the contact person:

Organization:

Suite/Office number or floor:

Street Address/Post Box:

City/Town:

Province:

Postal Code:

Organization’s Name (to be used on our website):

English Name:

French Name:

Website link to be provided on our website:

English link:

French link:

Please describe the artwork which you would like to have appear on our home page (list of logos will be scrolled).

Partnership Level:
GIV3 Supporter: up to $102.99GIV3 Partner: $103 - $332.99Triple 3 Partner: $333 - $999.99Club 21 Leaders: $1000 - $3332.99Foundation Builders: $3333 and +

Amount of donation :

Do you wish for this donation to remain anonymous?
 yes  no

Once we have received the form, we will confirm receipt (with the contact person); program the organization and links on our website; verify the set up with the contact person; and then send the
donation request form.

We also encourage our GIV3 Supporters to use our logo in their materials, on their website, and to spread the word; “ GIV3”. We hope our GIV3.ca website can help our supporters as an impartial third party reference.