Name*

Your Email*

Phone*

Nominated Charity Name*

Charity Registration Number* (See our 'How to Nominate' page for how to confirm registration status and find registration number)

Charity Contact Person*

Charity Contact Phone*

Charity Website

If this charity is chosen at a meeting will you be presenting?*
YesNo
If you answered NO to the above question, what is the name of person who will be presenting on your behalf (must be a member of 100+ Women Who Care Salt Spring Island - if necessary, a Planning Committee member can make your presentation for you)?*

*REQUIRED INFORMATION