Funding Claim Form 2019-2020
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FUNDING CLAIM FORM 2019-2020
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Please fill in all blue areas
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ONE FORM PER STUDENT
5816 Highway 2A
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Lacombe, AB T4L 2G5
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Payee Name:
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Street Address:
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City/Town, Province:
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Postal Code:
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Phone Number:
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Date claim submitted:
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Student Name:
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Enrolment Type
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#Funding Allowance
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Home Education1$835.00 per year
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Shared Responsibility
2$418.00 per year
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VendorDescriptionSubject Total
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TOTALS -
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Please include all receipts
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Please submit form and receipts to:
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fundingclaims@pacescanada.org
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Or Mina Desjardins at PACeS 5816 Highway 2A Lacombe, AB T4L 2G5
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