Other Total Expenditure Summary total cost of project Amount requested in this application (excluding GST) Project A $ Amount contributed by this organisation for the project/s $ $ Amount contributed by other funding bodies for the project/s (excluding GST) $ Total cost of project/s (excluding GST) $ For more assistance please contact: Regional Museums Grant Support Program 2017-18 Manager, Executive Services Department of Tourism and Culture GPO Box 1448 DARWIN NT 0801 Phone: (08) 8999 5052 Email: Website: Have you read the Guidelines? I/we have read and completed all criteria in the Regional Museums Grant Support Program Application Guidelines. ____________________________________________________ ________________________ Signature Date: name and position held Contact details: Phone: _________________________
Other Total Expenditure Amount requested in this application (excluding GST) Project A $ Amount contributed by this organisation for the project/s $ Amount contributed by other funding bodies for the project/s (excluding GST) $ $ Total cost of project/s (excluding GST) $ Summary total cost of project For more assistance please contact: Regional Museums Grant Support Program 2017-18 Manager, Executive Services Department of Tourism and Culture GPO Box 1448 DARWIN NT 0801 Phone: (08) 8999 5052 Email: Website: Have you read the Guidelines? I/we have read and completed all criteria in the Regional Museums Grant Support Program Application Guidelines. ____________________________________________________ ________________________ Signature Date: name and position held Contact details: Phone: _________________________
regional-museums-grant-assessment-questions-and-budget-breakdown.docx