2nd JOHNSTON BEQUEST DETAILS FORM (POST APPROVAL AND EVENT)

Date of Application

This field is hidden when viewing the form

Date of Application

Your Name(Required)

First Last

Your Email Address(Required)

Your Phone(Required)

just type area code and numbers, Automatic formatting will be applied (000) 000-0000

Event Title

Event Location

include city, state/province

Event Date Start

Number of Days

How long is this event?

Event Description

Total Registration Cost (amount must match receipt)

If the receipt is in USD, convert to CDN, as per charge date, with this site;

https://wise.com/gb/currency-converter/usd-to-cad-rate/history

Travel Cost (maximum equivalent public transport cost)

(no fancy limos or helicopters)

Accomodation Cost (maximum $200 per day)

Meals (up to $75 per day)

Other (Add description)

TOTAL (CDN)

Your Address (if you cannot do e-transfers and require a cheque instead)

Address Address Line 2 City Postal Code

Cheque Payable To: (if you cannot do e-transfers and require a cheque instead)

Upload Your Receipt File(s)

Drop files here or

Max. file size: 64 MB.

Notes

Comox Valley Unitarian Fellowship