Nature of Funding Request* Vandalism repair Rehabilitation/RestorationLegal Name of Cemetery*Registration Status* Registered - Enter Registration Number Below UnregisteredRegistration Number*Cemetery Address/Location*Please provide detailed cemetery address and/or GPS co-ordinates Address Municipality Postal Code Name of Applicant Organization*Name of Applicant Contact Individual*Title or Affiliation with Cemetery*Untitled*Is the Applicant's address the same as the cemetery address? Yes NoApplicant Address* Street Address Address Line 2 City Province OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Telephone Contact Number*Email Enter Email Confirm Email Before and After Photographs as AvailablePlease upload as available photographs sufficient to enable our reviewers to ascertain and evaluate the extent of damage and the extent of repair/rehabilitation required/ Drop files here or Other DocumentationPlease provide copies of such other documents as may be relevant to our review and evaluation, such as police reports, estimates, invoices, studies, etc. Drop files here or CAPTCHA
