Community Support

How to Apply

Thank you for considering Country Grocer as a potential partner to support your organization. We take pride in supporting the community, and try to support as many local organizations as possible. To help us ensure that we allocate our support as strategically as possible, please take some time to fill out the following application form. Once you have completed this form, click submit, or drop it off at Customer Service at your local Country Grocer store.  We will contact you as soon as possible to follow-up on your request. Thank you!

Sponsorship or Donation Application
Organization Name:  *
Charitable Registration Number:
Organization Address:  *
Organization City:  *
Organization Postal Code:  *
Key Contact First Name:  *
Key Contact Last Name:  *
Contact Phone Number:
     *
Contact Cell Number:
   
Contact Email Address:  *
Confirm Email Address:  *
Name of Event:  *
Applicable Region for Your Event:

Describe the initiative that your organization is looking for Country Grocer to support:  *
What is the date(s) of the Event?
Open the calendar popup.
Why is this initiative important to the local community?  *
Number of people who will be impacted:  *
What are you asking for in terms of support from Country Grocer?  *
How will you recognize our contribution?  *
Type the characters you see in the picture.
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