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2011 cash advance form

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2011 cash advance form Powered By Docstoc
					                                         Camp Balcones Springs
                                                104 Balcones Springs Dr.
                                                 Marble Falls, TX 78654




                                             Cash Advance Form


I ________________________________ acknowledge that Camp Balcones Springs may
provide me with cash advances and/or camp store merchandise on my paycheck(s).

I understand that these advances will be taken out of my paycheck(s).

Finally, I acknowledge that this debt is binding beyond the scope of my employment and
will repay it even if I am no longer employed by Camp Balcones Springs.

I hereby agree to the terms dictated above.




________________________________
Recipient of Advance




________________________________
Print Name



                                             Student Information

Were you a student at an academic institution in the spring of 2011? (CIRCLE ONE)

FULL TIME PART TIME NOT A STUDENT

Do you plan to be at an academic institution in the fall of 2011? (CIRCLE ONE)

FULL TIME PART TIME NOT A STUDENT


Name: ___________________________


Date: ________________
Thank you! You r answers will help to determine different insurance rates for the camp.

				
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