TLNVC MUTUAL SUPPORT PROPOSAL

Mutual Support/Alternative Payment
Proposal

ABOUT YOU:

First Name: *

Last Name *

Company:

Address:

Address 2:

City/Town: *

State: *

ZIP: *

Country: *

E-mail: *

Confirmation Email example@example.com

Email Address:

Phone Number *

Country Code Area Code Phone Number

Please Re-Enter Your Phone Number: *

ABOUT YOUR REQUEST:

What's the name of the class, event, or other offering that would you like to participate in? (NOTE: If you'd like to participate in more than one event, please submit a SEPARATE proposal for each event.) *

What is the lowest sliding scale tuition for this class, event, or offering?

Please add $35 administrative fee to this amount and enter the total here, due to the extra time it takes to offer, administer, and receive contributions from equitable exchange agreements. (For example, for a seminar with a $245 minimum sliding scale tuition, please enter $280 here -- the sum of $245 + $35. In this example, we request that you create a proposal that contributes at least $280 in cash and equitable exchange value to us.)

How much of this amount TOTAL are you willing to contribute to us by cash? (Financial contributions can be made in dollars, local checks, PayPal, credit card, and U.S. money orders.) *

Would a payment plan be helpful for you? (Please note, we strongly prefer payment in full by the last day of your class, event, or offering.) *

Yes No

In order for us to consider your payment plan proposal, please specify the amounts you would like to pay in cash, and at what time. For example, for a class costing $245 meeting from February 19 through April 30, you'll want to add in the $35 administrative fee (for a total of $280), and then you might propose a payment plan like "$80 on February 12, $100 on March 12, and $100 on April 12." (NOTE We're cannot consider payment plan proposals without specific payment dates and amounts.) *

Equitable Exchange Options

Please click here to review the list of PROFESSIONAL equitable exchange items that would contribute to us.

Please click here to review the list of PERSONAL equitable exchange items that would contribute to us.

If your resources don't include anything on this list, please feel free to offer resources you do have, that you would be happy to contribute.

If you're not able to contribute the full amount in cash, are you willing to contribute the remaining value with an equitable exchange? If not, please let us know why not. *

What kinds and how much of each equitable exchange item would you like to contribute? For example, "1 car detailing ($50 value) and 2 hourlong massages ($120 value) for a total equitable exchange value of $170." Please ensure that the total value of your cash contribution plus equitable exchange contribution equals the price of the class plus $35.

If you're offering any kind of exchange that would need to be scheduled, please let us know the days and times when you would be able to provide that support (both before and after the event you want to participate in). For example, if you can offer chiropractic or massage services, let us know your office days and hours. If you can offer things like car washing/detailing, let us know what days and times you'd be able to come to our offices and do those things.

Is there anything else you'd like to clarify or add?

THANK YOU for your Proposal/Application!

We'll get back to you as soon as we can, to let you know if we can accommodate your partial scholarship proposal for this event. If so, we'll work out the details of our agreement and confirm your registration for your event!

We look forward to connecting with you soon,

Vika Miller, MA
Thriving Life & Community
503-395-5366 (sorry, no texting at this number)
www.thrivingifenvc.org
www.twitter.com/vikathriving
www.facebook.com/thrivingvillageinternational