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Toronto Beaches Lions Club
SERVING OUR COMMUNITY SINCE 1935 !!
Request Support Form
Person or organization name:
Address of person or organization:
Who should the lions contact for more information:
Contacts address:
Contacts home telephone number:
Contacts business telephone number:
Contacts email:
Relationship to organization:
Requested assistance before:
If so when did you request assistance:
What was the outcome of the request:
Are you applying elsewhere for assistance:
Are you seeking financial assistance:
If so, how much money are you requesting:
If you are applying on behalf of an organization, what is your annual operating budget:
If funding is for a person, tell us about the current financial situation and income of the person:
Is the money to be paid in a lump sum or can it be paid over time:
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Lump Sum
Over Time
The TBLC primarily services East Toronto / Beaches area of Toronto. Do you have any connection to our community or how will our assistance benefit the community:
What would be the likely outcome if the TBLC is unable to provide the assistance requested:
Please specify in detailed terms the reason for your request. Include background information, factors prompting the request, the impact the assistance will have, and other efforts you have taken to obtain assistance, if any.
