AWoL Requisition Form
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Requisition Form
816 Chelham way, Santa Barbara CA, 93108
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805-565-1332 Talent@awolsb.org
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Form needs to be filled in to receive funds
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Payment is issued after funds clear our bank.
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Affiliate Contact Information
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Business NamePhone
Check below for payment details after you complete expenses,
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ContactEmail
send to us and has been sent back to you
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Name on checking account
Cell
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AddressDate SubmittedDate Paid
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Boxes with a dollar sign $ contain formulas, do not type over them!
Est. Payment Delivery
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Donations
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Date ck or rec.OrganizationFirst NameLast NameAddress Line 1Adress Line 2Email$ Donation Rec.
PaymentType
Paypal Fee
Payout Amount
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ck # $ -
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$ -
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Totals $ - $ - $ -
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All grant/donation checks must be made payable to Art Without Limits.
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Both pages must be turned in to receive funds.
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Itemized Expenses
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Spent from Donations & Grant Funds
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Category ( Printing, Graphics)
Paid ToAmount
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Fiscal Sponsorship Fees
Art Without Limits $ -
Art Without Limits Fees
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AWoL Fee-7 % x Total Payout Amount
$ -
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Paypal Fee $ -
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$50 if applicable - Yearly Renewal
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$50 if applicable - Grant Fee
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Total Art Without Limits Fees
$ -
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Grants Received-Fees
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Total Grant/Donation Amount $ -
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Minus Total Art Without Limits Fees
$ -
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Balance Due to Affiliate $ -
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Total Expensesshould equal grant amount -yellow highlight above $ -
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These should come from expenses you probably listed on your budget form.
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If you did not spend your entire grant, estimate the remaining amount on what you will use it for.
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Exclude earned income — Ex: Ticket or Merchandise Sales
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Please keep all your receipts and invoices. You will need them for your yearly taxes and in case we need to support your claims with the IRS..
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