ULA Non-Conference Programming Budget Request Form

Program Title

Contact Person (required)

Email (required)

Phone Number

Program Date

Program Location

Speaker fees or Honoraria $

Note: ULA members do not receive fees, honoraria, or travel expenses.

Other Speaker Costs $

Note: ULA members do not receive fees, honoraria, or travel expenses.

Publicity and Printing $

Location Expenses $

Describe any other expenses

Total Expenses $

Summarize your request - please write a brief description of your program, including information like:
purpose,
audience,
format,
number of speakers,
estimated attendance,
and any other useful information.