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Whitney Athletics Booster Association
Booster Club Deposit Form
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PART 1
Booster Club Name:
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Activity/Event:
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Date of Event:
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PART 2CURRENCY/BILLSCOINS
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QuantityAmountTotalQuantityAmountTotal
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$100.00$1.00
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$50.00$0.50
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$20.00$0.25
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$10.00$0.10
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$5.00$0.05
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$2.00$0.01
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$1.00
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TOTAL CURRENCYTOTAL COIN
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PART 3CHECKS
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Check #Name on CheckAmount
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TOTAL CHECKS$0.00
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PART 4Total Currency
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Total Coin
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Total Checks
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Total Credit Cards
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Total On-line Payments
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Total Deposit
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PART 5I acknowledge the electronic signature confirms I have entered the information above and reviewed the information contained in the contents of the accounting manual. Furthermore, I understand that a violation of said rules could result in the suspension of the identified booster club and possible legal issues. I also acknowledge that by typing my name in the respective box, that this electronic signature has the same legal effect, validity, and enforceability as a signature in a non-electronic form.
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Club Treasurer Signature:
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PART 6
Association Treasurer Name:
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Association Treasurer Notes:
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