RC Pet Products Grant application Form

Organizational Contact Information
Name and Title: Click or tap here to enter text.
Organization name: Click or tap here to enter text.
Phone: enter text / Website: enter text / E-mail: Click or tap here to enter text.
Registered company address: Click or tap here to enter text.
City: Click or tap here to enter text. / State: enter text here / ZIP Code: text here
Canada (BC) – PST #: Click or tap here to enter text.
US – Federal Tax ID: Click or tap here to enter text. / Years in Operation: #
Organization Information
Mission Statement/ Purpose: Click or tap here to enter text.
Does your Organization have a no-kill policy / Yes Indicate with a X / No Indicate with a X
How will you use the funds? Click or tap here to enter text.
What is your annual Operating budget? Please submit the latest financial statements. Click or tap here to enter text.
How much of your annual operating budget is spent on administration? Salaries? Click or tap here to enter text
Ship to the same address as above? If Not please provide. Click or tap here to enter text
Key Contacts
Name: Click or tap here to enter text.
Title: Click or tap here to enter text.
Phone: Click or tap here to enter text. / E-mail: Click or tap here to enter text.
REFERENCES
Company name: Click or tap here to enter text.
Address: Click or tap here to enter text.
City: Click or tap here to enter text. / State: Click or tap here / ZIP Code: Click or tap
Phone: enter here / Fax: enter here / E-mail: enter here
Company name: enter here
Address: enter here
City: enter here / State: enter here / ZIP Code: enter here
Phone: enter here / Fax: enter here / E-mail: enter here
Thank you for giving RC Pet Products the opportunity to support your organization. Please sign this more accepting the terms presented and to authorize RC Pet Products to contact the listed references. Unsigned or Incomplete forms may not be accepted.
Authorized Signature
Name and Title: enter here
Signature: print and sign
Date: enter here

550 EAST KENT AVENUE SOUTH, VANCOUVER, BC V5X 4V6