Please fill in form below, print and MAIL with all receipts verifying expenditures to:
Horseshoe Saskatchewan Inc.
Box 29029
Saskatoon SK S7N 4Y2
MEMBERSHIP ASSISTANCE PROGRAM
FOLLOW UP REPORT
Please type or print all information to ensure legibility
Official Name of Applicant
Contact Person
Telephone#
Address
Town/City
Postal Code
Did the project meet the stated purpose
Project Report (as detailed as possible)
ACTUAL PROJECT COSTS
Map Grant Received
$
Expenses:
Travel
$
Entry Fees
$
Facility Rental
$
Donations
$
Tournament Director
$
Other:
$
$
Total Expenses
$
Attach all receipts verifying expenditures
Chairperson/President Signature
Date