2008/2009 Kingston Frontenacs Donation Request Form

Completion of this form is a request only and does not guarantee a donation.Please print clearly.

Type: ____Corporate ___School ___Team ___ Business ___Charity ___Other

Contact Information:

Organization: _______________________________________________________________

Contact Name: ______________________________________________________________

Email Address: ________________ Tel: ________________________________________

City: ________________________ Province: ___________________________________

Postal Code: __________________ Date of Request: _____________________________

Event Information:

Event Name: ________________________________________________________________

Event Date: __________________________ Time: ________________________________

Event Location: ______________________________________________________________

Address: ___________________________________________________________________

Event Description: ____________________________________________________________

Anticipated Audience: ____________ Anticipated Age Range: ____________

Please return completed form to:
Kingston Frontenacs Donation Request
Kingston Frontenacs Hockey Club
P.O. Box 665 Kingston, ON K7L 4X1
Phone (613) 452-4042 Fax: (613) 542-2834

For Office Use Only

Item: ______________________________________________________________________

Approved By: _______________________________________________________________

Pick Up Specifics: ____________________________________________________________