PotashCorp - Corporate Community Investment Funding Application

Community Investment Funding Application

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Name of Organization*

Address*

Telephone Number*

Charitable Registration Number**

Web Address

Email Address*

Mandate and objectives of organization, including a brief history*

Description of your project and objectives for which funding is being sought*

How do your program objectives support the objectives of our Community Investment Program?*

How much money are you requesting and how will it be used?*

What recognition opportunities are there for PotashCorp?*

Name/Title of Organization's Officer*

Attachment:

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** if applicable