Picton Kinsmen Donations and Support

Application For Donations or Support.

Please complete the online form below with your details and we will get back to you as soon as we can. Alternatively, you can download and print the form to complete and send to our office.

Date
Date Format: MM slash DD slash YYYY
Has any other service club been contacted for a donation or support?*
- Yes
- No
Name of Service club(s) or financial supporters. What is their contribution ?*
What is the general purpose of the request, anticipated attendance (if applicable), benefit to the community, availability of financials ?*
Is there a time line attached to the request ? ( if Yes, application must be received 30 days in advance)*
- Yes
- No
Date*
Date Format: MM slash DD slash YYYY
Request*
- Cash Donation
- Service
Amount Required*
Is there any Kinsmen advertising associated with the request*
- Yes
- No
Details*
Name to appear on Cheque
Name
First Last
Phone
Email
Address
Street Address Address Line 2 City Province Postal Code
Captcha

Print Form