Map Spending Plan

Please fill in form below, print and MAIL to:
Horseshoe Saskatchewan Inc.
Box 29029
Saskatoon SK S7N 4Y2

MEMBERSHIP ASSISTANCE PROGRAM SPENDING PLAN	Please type or print all information to ensure legibility
Official Name of Applicant
Contact Person	Telephone#
Address
Town/City	Postal Code
Purpose
Project Description (as detailed as possible)

PROJECT BUDGET
Map Grant Requested		$

Expenses:	Travel	$
	Entry Fees	$
	Facility Rental	$
	Donations	$
	Tournament Director	$
	Other:	$
		$
	Total Expenses	$
Provincial Sports Governing Body use only:		$
AMOUNT APPROVED:		$

Chairperson/President Signature

Date