Region 8 Voluntary contribution fund Student branch request 
for All Magazine Package support.

Branch name:

Branch Chairman name:

Branch address:

Contact e-mails  

Please, describe how the magazines will be used.
Note that this is the main part of the application. Region 8 needs to know how useful will donated materials be to you.

In the case that funds are rather limited to provide support to all needy branches, enter the amount your SB is ready to contribute to the cost:

Date:

Signatures of the SB Chairman (or vice-chairman) 

This form should be sent to
 Zbynek Skvor, Czech Technical University in Prague, K317 , Technicka 2, 166 27 Praha 6, Czech Republic.