PUBLICATION OR PROJECT: ____________________________________________________

	COLUMN A Funds Requested as Project Grant	COLUMN B Funds from Other Sources
PROJECTED COSTS (lay-up, typesetting, etc.)	$ __________	$ __________
PRINTING & BINDING	$ __________	$ __________
SUPPLIES	$ __________	$ __________
EQUIPMENT (rental or purchase)	$ __________	$ __________
PUBLICITY (brochures, evaluations, programs, postage, etc.)	$ __________	$ __________
OTHER: ____________________	$ __________	$ __________
OTHER: ____________________	$ __________	$ __________
OTHER: ____________________	$ __________	$ __________
TOTALS	$ __________	$ __________
TOTAL PROJECT COST (Column A + Column B)	$ __________