Field Investment Proposal
Please use this form to request funding for field initiatives. Initiatives may include activities to 1) increase membership, 2) expand reach of alliances or create new alliances, 3) strengthen relationships within alliances.
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Email *
Project Name
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Project Start Date(s)
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Project End Date(s)
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YYYY
Brief project summary
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Project Owner/Driver
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What region are you in? (If you aren't sure of your region, you can find it  on the  Regional Map)
What state are you in?
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What Alliance are you in (if any)?
Expected Impact (e.g increase alliance membership, create alliance where none existed, create BA awareness in new demographic,  etc)  
How will impact be measured?
10X Member Support (if any) - Indicate if you would like assistance specifying metrics and collecting data on impact
Clear selection
Expected cost/funds requested 
Project Funder
*
Required
Expected ROI
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Prerequisite actions
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Additional Information
Measured Results
Comments
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