- Your chapter
- Wikimedia ...
- 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|
- 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.)