Fund Development Request

EVENTS - BUDGET REQUEST

Request for Budget & Activities for:

Event Leader's Name:

Event Leader's Phone Number: Ext:

Event Leader's Email Address:

      Number of Events:
      Anticipated Geographic Location(s) - list all anticipated:

      Time of Year: (check all that apply)
             Jan   Feb   Mar   Apr   May   Jun
             Jul    Aug   Sep Oct   Nov   Dec
      Projected Duration of Activities, Training or Events:
            Start Date:   MM    DD    YYYY
            End Date:    MM    DD    YYYY

Association Coordinator assigned to:

Description of Committee: (Five Year Strategic Plan)
Provide below the Details, Goals and Objectives of each project/event.

Check all that apply

	The event will conduct activities/events for general membership participation.
	The event will need help negotiating private or commercial facilities for activities/events.
	The event will require personal services contracts.
	The event will require food or beverage contracts outside of facility contracts.
	The event will require website support for registration or other activities.

BUDGET FORM

REVENUE (INCOME):

	Number	Rate
Estimated Number of Member Attendees (standard fee is $40)		$
Estimated Number of Non-Member Attendees (standard fee is $75)		$
Other Revenue - except Fund Development (please describe below)	$
Revenue Description/Notes:

EXPENSE (COST):

EVENT RELATED EXPENSES

	Quantity	Rate
Air - # of Round-Trip Flights times # of people		$
Car - # of Round-Trip Car Travel times # of people		$
Parking/Tolls - # of Car Parking/Tolls		$
Other Transportation - # of Others times # of people (eg. shuttles, taxi)		$
Lodging - # of rooms times # of nights times # of people		$
Meals at the event ($30 per person)		$

ALL OTHER EXPENSES

Copying/Printing

Postage/Shipping

Facility Uses

Contracted Services (eg. Presenters/Speakers)

Supplies

All Audio/Visual Expenses for Event

Other (Explain in Description/Notes below)

Expense Description/Notes: