Sponsorship Request - Canada

QRCI receives many requests for community funding. Although we cannot meet them all, if you have a request that you would like us to review please fill out the required form. Please ensure requests are concise and should include the following information:

More Information

List of Sponsors

To submit by mail send completed form to :

Quicksilver Resources Canada Inc.
One Palliser Square
2000, 125 - 9th Ave SE
T2G 0P8
Canada

*Name:
Company:
Address Line 1:
Address Line 2:
City:
State / Province:
Zip / Postal Code:
Country:
Phone:
*Email:
Charitable Number	if applicable

Overview Of Project or Program:
Objectives

Geographical area served

Target group of people who will benefit and how they will benefit

Budget
Timeline
Amount of funding requested, including other sources of funding

A description of how the project addresses needs that are not being met by other community groups.

Details as to how QRCI's participation will be profiled in the community.


*denotes required field