test Community Investment Request Form - McDougall Energy Name(Required) First Last Email(Required) Phone(Required)Choose the specific category of focus for your request(Required)OtherAnimal WelfareEducationHealth CareYouth SportsFood SecurityWhat McDougall Energy location is closest to your organization?(Required)Click Here to Find Your Nearest LocationNot ApplicableBurford BranchConcord BranchChapleau BranchChatham BranchClinton BranchGoderich Regional Operating CentreKingston BranchLondon BranchManitoulin Island BranchOwen Sound BranchSarnia BranchSault Ste. Marie Corporate Head OfficeSt. Marys BranchSt. Thomas Regional Operating CentreSudbury BranchTeeswater BranchTillsonburg BranchTimmins BranchWhat community will this initiative impact?(Required)Event Name(Required)Date Of Event MM slash DD slash YYYY When do you require funding by? MM slash DD slash YYYY Organization or Group Name(Required)What type of organization/group is this?(Required)OtherCharitable organization with a valid CRA registration numberRegistered non-profit organization with a valid B/N business registration numberSport OrganizationIndigenous GroupCanadian Public Education InstitutionType of request(Required)OtherMonetaryGift CardsProductValue of Request. Please provide a numerical value or range.(Required)Tell us more about your event/initiative and the support you are requesting from McDougall Energy.(Required)Please provide; initiatives purpose, event description, support needed, and why we should support your initiative. Please share the purpose of your event or how your event will benefit from McDougall Energy's contribution.(Required)Please provide; event purpose, use of funds, benefit of receiving funds. Provide any documentation that supports your request. Drop files here or Select files Max. file size: 64 MB. Provide any links to your organization's website and socials Are you a McDougall Energy Customer?(Required) Yes No If yes please provide your customer number.Did you speak to anyone at McDougall Energy about this request?(Required) Yes No If yes who did you speak to?Your consent will allow us to communicate with you by email and other electronic means using commercial electronic messages in compliance with Canada's Anti-Spam Legislation. You may unsubscribe at any time by emailing marketing@mcdougallenergy.com.(Required) I consent to receive electronic communication about promotional material from McDougall Energy Inc.CAPTCHA
