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Get Safeway Donation Application

DONATION APPLICATION Contact Information Please complete the following address information. Name of Charity Contact Name Title/Role Mailing Address City Province Postal Code Contact Phone Number Contact E-mail Charitable donation number if applicable What is the primary focus of your organization Tell us about your event or activity or sponsorship request What kind of support are you seeking When will the event be occurring When did Safeway last contribute to your group How will Safeway s donation be recognized Are you a United Way member Agency Yes No Are Safeway employees involved in your organization Yes No See Page 2 While all requests will be responded to please note that due to the large number of requests for donations we receive Safeway must limit its support to those opportunities most consistent with the company s giving priorities. For more information visit www. safeway. ca* APPLICATION DIRECTIONS For gift in kind donations under 50. 00 please forward this application and any supporting materials to your local Safeway. For donations exceeding this amount please forward this form and supporting materials to your regional Public Affairs representative Alberta Betty Kellsey Public Affairs Manager Canada Safeway Limited 1020 - 64th Avenue N*E* Calgary AB T2E 7V8 Fax 403 730-3923 British Columbia Mary D Astolfo Public Affairs Manager Canada Safeway Limited 7280 Fraser Street Vancouver BC V5X 3V9 Fax 604 322-2506 Saskatchewan/Manitoba and North Western Ontario John Graham Director of Public Affairs Government Relations 300 - 1345 Waverley Street Winnipeg MB R3C 2H4 Fax 204 4875906. For more information visit www. safeway. ca* APPLICATION DIRECTIONS For gift in kind donations under 50. 00 please forward this application and any supporting materials to your local Safeway. For donations exceeding this amount please forward this form and supporting materials to your regional Public Affairs representative Alberta Betty Kellsey Public Affairs Manager Canada Safeway Limited 1020 - 64th Avenue N*E* Calgary AB T2E 7V8 Fax 403 730-3923 British Columbia Mary D Astolfo Public Affairs Manager Canada Safeway Limited 7280 Fraser Street Vancouver BC V5X 3V9 Fax 604 322-2506 Saskatchewan/Manitoba and North Western Ontario John Graham Director of Public Affairs Government Relations 300 - 1345 Waverley Street Winnipeg MB R3C 2H4 Fax 204 4875906. .

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