PTA (Parent Teacher Association)
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- PTA FUND REQUEST FORM TEMPLATE
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PTA
Van Wyck Junior High School
6 Hillside Lake Drive, Wappingers Falls, NY 12590
FUND REQUEST (year 2016-2017)
Requestor: Phone:
Request Date:
Date Needed By:
Committee:
Total Amount of Expenditure: $
IS THIS A CREDIT CARD EXPENSE YES NO
MAKE CHECK PAYABLE TO:Reason for Expenditure (Attach additional documentation if needed):
_______________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________PLEASE ATTACH ALL ORIGINAL RECEIPTS AND PAID INVOICES.
Check # has been issued in the amount of $
Date of Issue:
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MUST BE APPROVED BY TWO PTA EXECUTIVE BOARD MEMBERSPTA EXECUTIVE BOARD MEMBER SIGNATURE
PTA EXECUTIVE BOARD MEMBER SIGNATURE