You must have JavaScript enabled to use this form. Organization Information Name of Organization Organization Website Charitable Number Mailing Address City Province - Select -Newfoundland and LabradorNova ScotiaAlbertaBritish ColumbiaManitobaNew BrunswickNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Primary Contact Contact Name Title or Relationship to Organization Contact Email Address Phone Number Alternate Phone Number Other Information Has this organization received a donation from Marine Atlantic in the past? No Yes If yes, when? Event Information Event Name Event Date Event Place Purpose of the Event How will a Donation from Marine Atlantic be used? Area/Community the event will serve Attachment Use this field to attach any documents relevant to your request.