OFFICE OF CONGRESSWOMAN CAROLYN B. MALONEY
FISCAL YEAR 2010 DEFENSE APPROPRIATIONS REQUEST FORM
(PLEASE COMPLETE THE ENTIRE FORM)



Service/Component:

Appropriations Account (provide only one):


2010 Budget Line Title (from DoD Program Justification Materials: M1, O1, P1, or R1):  


Provide only ONE of the following:

Military Personnel, O&M		Procurement		RDTE			Intel

Budget Activity #: ____			P-1 Line # ____		R-1 Line # ____	MIP ______

Sub-Activity ID #: ____			Number:    ____	PE#: __________	NIP  ______

Name of Project Requested:

Program Description (must include a clear description of military requirement):







Benefit to DoD:




Congressional Funding History:

FY09
FY08
FY07
FY06
FY05
FY04



DoD Supporting Program Manager/Agency (office contact information):

FY10 Budget Amount (if applicable):


FY09 Appropriated Amount:



Your FY10 request: 



Staff Contact Information at the Institution:
Institution: 	
Name: 		
Address (including state and zip): 	
Email:							
Phone:	


Lobbyist/Government Affairs Representative for the Institution 
Name:
Address:
Email:							
Phone:
Cell: