Tangible and Technical Support Request for Not For Profit Organizations (NPOs)

Name of Organization:

Contact Person:

Title/Position within Organization:

Phone Number:

Email:

Title of Event:

Date of Event:

Time of Event:

Requested Date of Delivery:

Requested Time of Delivery:

AM

PM

Delivery Address:

Delivery Notes:

What type of technical service is requested?

Display on the electronic board (3 weeks before the event)

Invitations to Council Members / Mayor

Employees during the activities

Time Employees Requested:

Declaration Checkbox:

I declare that the support requested is for residents of Clarence-Rockland. I also understand that by submitting this request, it doesn't guarantee that Community Services will grant the request.

Signature of Applicant

Clear

Signing Date:

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Tangible and Technical Support Request for Not For Profit Organizations (NPOs)

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