Organization information

Q.1
Name of the organization *

Q.2
Type of organization *

Q.3
Registered charity number (BN#)

Q.4
Organization/Event website *

Q.5
Address *

Q.6
City and Province *

Q.7
Postal Code *

Contact information

Q.8
Name and title of person responsible *

Q.9
Contact Number *

Q.10
Email Address *

Event details

Q.11
Event Name *

Q.12
Event Description *

Q.13
Event location *

Q.14
Number of guests expected to attend *

Q.15
Start date and time *





Q.16
End date and time *





Q.17
Procurement date *



Player Required

Q.18
Which player would you like ? *

Q.19
What do you expect from this player at your event ?

Reference from the Montreal Impact

Q.20
Was this request made following a referral from a Montreal Impact employee? *

Q.21
Are you a season ticket holder with the Montreal Impact?

Q.22
If you also wish to send us more details regarding your event, please attach a document here