Cheque Printing Request Form
Club Name *
(Chess Club)
Bank Account Number *
(00406 xxxxx xx)
I accept that the Clubs & Societies Office or their agents will charge the cheque printing fee either directly to the account number provided above and that I am responsible to ensure sufficient funds are present in the account at the time of the request and until the cheques are delivered OR to be taken from the FACCS grant. *
Signature: *
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