Only active members can nominate a charity The charity must be qualified Complete the nomination form below The organizing committee will verify the charity is qualified The nominated charity will be added to the charity draw Member Information Member First Name Member Last Name Member Email Address Member Phone Nominated Charity Name * Charitable Registration Number * Charity Contact * Charity Phone Number * Charity Email Address * Charity Website * If this Charity is chosen at the meeting will you be presenting? * Yes No If no, what member is speaking on your behalf? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
