Extra Grants Application Form

Note all information is required. We reserve the right to consider each application on an individual basis.


Type of Event:

Date of Event (up to July):

Description of Event and its benefits:

Proposed costing for Event:

Do you intend to organise your lecture/event jointly with another society ?:
	Yes: No:
If so, name of other society:

I have read the conditions of application and I certify that the society named below is eligible to apply for funding:
University:

Chemsoc name:

Name of Chemsoc Officer:

Tel:

E-mail:

Amount of funding required (up to £500):

Cheque made payable to:


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