Rotary Request for Payment:
This is a form to use when seeking a special reimbursement of cost from an event, meeting, or other special activity.
Payment to: *
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Address: *
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Telephone: *
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Payment Amount: *
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Payment For: *
Payment Description: *
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Request for Payment Submitted By: *
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Request for Payment date: (today's date) *
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NOTE: With a Smartphone, please take a picture of all invoices, bills, or donation requests and email that document with "REFERENCE TO "details All donations must be approved by the Board prior to payment.
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