Program Title:
Date of Program:
Location:
Coordinators:
Program Speakers, Format: 

Program Expenses:
                              Speaker’s Honorarium                                            _____________________

                              Speaker’s Costs                                                                 

                                             Airfare/Mileage                                       _____________________

                                             Meals                                                     _____________________

                                             Cabs                                                     _____________________

                                             Other                                                     _____________________

                              Facility Charges                                                    _____________________

                              Equipment Costs                                                   _____________________

                              Printing Costs                                                       _____________________

                              Food                                                                    _____________________

                              Miscellaneous Costs                                              _____________________

                                             Total Costs                                             _____________________

Program Income:              
               Number Registered                                                               _____________________

               Number of Paid Registrations                                                _____________________

               Registration Fee                                                                   _____________________

                              Paid Registrants x Fee                                           _____________________

                                             Total Income                                          _____________________

                                             Profit/Loss                                             _____________________

Coordinators Comments