Check Request - CHS Band Boosters
Use this for expense reimbursement, if you write a check from the band account, or make a charge with the band debit card.

If you have an invoice that needs to be paid give it to the treasurer or put it in the gray box.

For reimbursement you must submit a receipt. You can put it in the gray box, or scan and email it to the treasurer.

If you have questions please contact the Interim Treasurer, Susan Willard Howell at susanwillardhowell@yahoo.com

Your Name *
Your answer
Your Email Address
Your answer
Your Phone Number *
Your answer
Address (only if we are mailing your check, you may also make special arrangements with the treasurer)
Your answer
Date *
MM
/
DD
/
YYYY
Payee (You, if this is a reimbursement) *
Your answer
What is it for? (Payroll, Uniforms, Equipment, Stamps, Gas, Food, etc.) Details are helpful. Include budget 3 digit line item number, if available. *
Your answer
Amount *
Your answer
Program *
Indicate Check Number/Debit Card # used if paid from the Band Account
Your answer
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