Check Request Form by qqk70005

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									                                                                                                                 Simplifying Your Volunteer Activities




Check Request Form
                                                                                                                 TREASURER TO COMPLETE

1   To whom is the check to be written:                                                                    Check #
    Name                                                                                                   Date
                                                                                                           Amount
    Address

2   Purpose (what is/was the money spent for?)




3   Date the check is needed                                                                             Amount of check: $
    Date this form was submitted

4   Contact details of the person submitting this form:
    Name                                                                                                 Phone
    Signature

5   Approved by
    If the form is submitted by the Committee Chairperson, it must be approved by an Executive Officer.


6   Attach receipts to back of this form.

7   Please indicate the budget which is to be charged:
    FUNDRAISING                                     CURRICULUM ENRICHMENT                                          SERVICES
    ❏   Butter Braids                               ❏   After School Programs                                      ❏ Book Fair
    ❏   Holiday Wrap.Gifts                          ❏   Art                                                        ❏ Carnival
    ❏   Jogathon                                    ❏   Debate Club                                                ❏ Carnival Baskets
    ❏   Other Fundraising                           ❏   Enrichment Classes                                         ❏ Comfort Kits
                                                    ❏   General Curriculum Support                                 ❏ Directory
    DONATIONS                                       ❏   Literature                                                 ❏ Family Fun Nights
    ❏   Box Tops                                    ❏   Math                                                       ❏ Family Support
    ❏   Online Box Tops                             ❏   Music                                                      ❏ Newsletter
    ❏   Injet Cartridges                            ❏   Performance/Theatre                                        ❏ Playground Equipment
    ❏   Pictures                                    ❏   Science                                                    ❏ Scholarships/Awards
    ❏   Retail Store Cash Back                      ❏   Science Fair                                               ❏ School Support
    ❏   Other Donations                             ❏   Teacher $$                                                   ❏ DARE
                                                    ❏   Restricted - Math                                            ❏ First day of school
    MANAGEMENT                                      ❏   Restricted - Pacific Science Center                           ❏ Open house
    ❏   Leadership                                  ❏   Other CE                                                     ❏ Staff appreciation
    ❏   Legislative                                                                                                  ❏ Other
    ❏   Memberships                                                                                                ❏ T-Shirts
    ❏   Operations                                                                                                 ❏ Volunteer Recognition
    ❏   Other Management                                                                                           ❏ Yearbook
                                                                                                                   ❏ Other Services




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