Discretionary Fund Application

N.B. Please use your TAB key to move from box to box. Use of the return/enter key submits the form prematurely!

TODAY'S Date (Use the TAB key only.)
Note: Please read the Guidelines before filling out the Application. Please observe the application deadline of six weeks before event.
Title(s) of sponsoring NATS unit(s) (Which chapter or region?)
Date of Event
Project Details
Project Administrator Information
Name
Address
City
State
Zip
Home Phone
Work Phone
Fax
Email Address
Financial Projection
EXPENSES  
  Fees $
  Travel $
  Publicity $
  Postage $
  Printing $
  Hall rental

$

BE SPECIFIC, PLEASE! Other $ (You may enter more than one number here as well as words.)
  Total $
INCOME  
  Local Funds $
  Regional Funds $
  Admissions/Fees $
BE SPECIFIC, PLEASE! Other $ (You may enter more than one number here as well as words.)
  Total $
Amount Requested From Discretionary Fund

$ (In other words, how much cash shortfall do you expect? $600 maximum.)

Other supporting statements or data in favor of the project:
Please list your REGION and Regional Governor's name:
 

Please Choose ONE:
CLICK THE SUBMIT BUTTON (above) TO APPLY ONLINE or
PRINT THIS PAGE AND RETURN APPLICATION TO:
Kimberly Ehrhardt
NATS Executive Office
9957 Moorings Drive, Suite 401
Jacksonville, FL 32257