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Sponsoring Division, Roundtable, or Committee: _________________________________
Person Submitting Request: _________________________________________________
Address: _______________________________________________________________
________________________________________Telephone ______________________
Name of Workshop _______________________________________________________
Date __________________________________________________________________
Location/Place of Workshop
________________________________________________
Brief Description _________________________________________________________
_______________________________________________________________________
Date(s) of Planning Meeting(s) _______________________________________________
Continuing Education Committee Representative _________________________________
BUDGET
1. Expenditures (List details below)
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Postage for mailing Registration Form |
$______ |
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Other Postage |
______ |
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| Printing (Registration Form) |
______ |
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Printing (Handouts,etc.) |
______ |
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Telephone |
______ |
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Supplies |
______ |
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Speaker Fee |
______ |
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Speaker Transportation |
______ |
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Speaker Lodging |
______ |
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Speaker Meals |
______ |
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Other (Specify) ____________________________ |
______ |
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TOTAL EXPENSES |
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$______ |
DETAIL EXPENDITURES. List speaker's name(s), specify "supplies," "other expenses," etc.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
II. Anticipated Income. List separately all sources of income and amounts.
Minimum Registration Fee for OLA Members: $30.00; Nonmembers:
Double. (Anticipated Income must be at least equal to Expenditures)
_______________________________________________________________________
_______________________________________________________________________
TOTAL ANTICIPATED INCOME : $_______
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