Fund Request Form
John Eaton Home & School Association (JEHSA)
Date *
MM
/
DD
/
YYYY
Amount *
Submitted By: *
Approved By: *
Check Payable To: *
Attach W-9 here, if necessary (W-9 must be on file for vendor prior to check being processed.):
Purpose of Reimbursement/Payment (Detailed description: e.g. Reading Supplies, Computer Expenses, etc.): *
Attach Receipts/ Invoice: *
Required
Mail To (If left blank, check will mail to Eaton Elementary for pick up in Treasurer Box)
Submit
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