DONATION Application Form

Thank you for applying for a West Edmonton Mall donation. We consider all requests fully and carefully. We will be in touch about your request within 30 days.
Important: Please consider the criteria on the next page before completing this application form.

Please complete this online form or mail, fax or e-mail your completed application to:
WEM Cares Community Relations
1755, 8882-170 St
Edmonton, AB T5T 4J2
780-444-5321 | Contact Us

Step 1 / 3

Questionare

Is your organization a faith-based organization, a graduation party, a fundraiser for a specific individual, team, or a corporate partner?

Yes No

Is your event at least six (6) weeks away?

Yes No

Is your event taking place between June and August?

Yes No

Next Step

Step 2 / 3

Contact Information Required Fields *

Organization Name: *

Registration Number:

Mailing address:

Contact Name:

Email: *

Phone Number:

Event name:

Main audience for event:

Next Step

Step 3 / 3

Description of your program or event Required Fields *

Date of Event: *

Brief description: *

How will our contribution be recognized? *

Other organizations supporting your event/program?

Verification * :

Submit my Request