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Minigrants:Template

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Your chapter
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Your name
How do we contact you? Please provide an Email address and / or Username
Fill in the table below
Amount Requested Your currency Conversion Rate USD Requested Purpose
Total in USD:
What Bookshelf materials will you print?
Item (link) Number of Copies Cost of Printing Currency Cushion


Event

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Please provide a short description of the event?
When is the event?
When can we expect your report? (This report must be submitted within 2 months of the event.)


Fit to strategy

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Measures of success

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