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Seymour Band Payment Form
Please submit the form below to use funds from your Band Account. Before any dollars are applied to an event, expect me to contact you and confirm that your payment request is valid.
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Email
*
Your email
First & Last Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
How much would you would like taken from your Band Account? ($0.00)
*
Your answer
What event would you like the money applied to? (January Band Trip Payment, Jazz Festival, UW-Madison Varsity Band Concert, etc.)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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