CYCAS Event – Details & Proposed Budget

Name of Event (if relevant)

Key Contact Person for this Event:

Email
Phone (Include Country Code)
Postal Address

Key Aims of the Event

Location (full address where Event will be held)

Date of the Event Number of People Expected

Longer Term Outcomes expected

Proposed Budget – All amounts should be shown in $US.

Item Details Amount

Total cost of the Event USD

LESS The amount that I am going to contribute to the event

 Total Amount of funding I am seeking from CYCAS USD

If Logosdor can assist with funds I would require them by the following date

Name Signed

Email completed form to liz@logosdor.com