Form – Aquatic Plant Management Society

APMS Special Project Proposal & Annual Conference Participation Funding Request

Name(Required)

First Last

Affiliation/Organization Requesting Funds

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Amount of Funds Requested:(Required)

Will Other Entities Share Costs for this Project?(Required)

Yes

List each entity and amount

Funding type requested (check all that apply)(Required)

Travel

Registration

Lodging

Project

Itemized Costs(Required)

Please list specific costs you are seeking assistance with