SUSAC Payment Record
Please submit one form per transfer. Please do individual transfers for different trips (each capernwray weekend is a different trip)
The Bank Details are as follows
Sort Code: 40-41-31
A/C : 51626477
You will recieve and email confirmation when you complete the form.
Please follow this link for Capernwray Expenses http://goo.gl/forms/Ja8s9F0ZzZ
Email address *
Name *
Full Name please e.g. Sam Brown
Your answer
Date of Transfer *
When you sent the money, not when you fill in the form!
MM
/
DD
/
YYYY
Reference *
Your answer
Amount Transfered *
£ 0.00 format please
Your answer
Reason - What trip is it for? *
What is the money for, e.g which trip. Please do one transfer per trip/capernwray weekend
Required
Other Information
Your answer
A copy of your responses will be emailed to the address you provided.
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