SSF-Payment-Request
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SSF Payment Request Form
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http://bit.ly/ssf-payreq
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Date:
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Requested By :To:Sahana Software Foundation
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E-mail: 350 South Figeroa, Ste 437
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Project/Program:Los Angeles, CA 90071
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Purpose:United States
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Budget Approved:
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Pay to: Tel 860-499-0332
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Amount Requested (USD):
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Date Payment Requested:
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Payment Instructions
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Method (Paypal, Wire Transfer, Paper Check**):
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Paypal Instructions:
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E-mail address (Paypal):
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Wire Transfer Instructions:
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Full Bank Name / Branch:
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Full Address of the Bank Branch:
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Telephone Number of the Bank:
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Bank Routing Number (ABA# or SWIFT Code):
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IBAN Number:
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Other Bank ID (Specify):
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Account Number:
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Name of Account Holder:
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Currency to pay in:
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Paper Check Instructions**:
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Pay to:
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Mailing Address:
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City, State:
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Postal Code:
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** US Only
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Instructions:
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1. Select FILE -> MAKE A COPY. Then Complete all fields shaded in gray (if relevant)
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2. Please select payment method – ideally provide information both for paypal and a bank wire transfer to allow SSF to chose least cost means of paying you. Please let us know of what incoming wire fees you you may be charged so we can take this into account in calculating the best payment method.
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3. Note that our bank can pay in many foreign currencies and this usually results in the most favorable exchange rate for all parties and we will do this unless you specifically request to be paid in US Dollars and allow your bank to make the conversion.
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4. Save file as PDF (FILE -> DOWNLOAD AS -> PDF Document) and E-mail completed Payment Request form to payreq@sahanafoundation.org
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5. Attach to that e-mail a scan (PDF), electronic receipt (e-mail) or digital photograph of any receipts
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