Check Request Form
Request funds from the Clairemont Elementary PTA.
Email address *
Name *
Your answer
Date *
MM
/
DD
/
YYYY
Grant Request? *
Who should the check be made out to? *
First and Last Name
Your answer
Amount Requested *
Your answer
Address *
Street Address, City, State, Zip
Your answer
What is this for? *
Your answer
NOTE
If item has already been purchased, attach receipt(s), in PDF or Image format to this form. Otherwise, provide receipt(s) as soon as possible after purchase to ptaclairemontelementary@gmail.com. Approval must be obtained on all purchases. Failure to obtain approval may result in purchaser having to incur the expenses. Signature of the PTA president is required before treasurer will issue check.
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