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    Check Request Form
    2017-2018 School Year

    Please use this form to request funds from the PTA. Please complete the form, staple receipts or invoices to it, and return it to the PTA Treasurer’s box in the Office. Once approved, payment will be made within 5 business days. Please contact the PTA treasurers at if you have any questions.
    Make Check Payable to: Date:
    Room Number or Address email
    Signature: Ph. #:
    Purpose of check:
    PTA Project(s):
    (e.g. specific classroom, art docent, chess club, auction, etc.)
    Please give a detailed accounting of each item and the cost.
    Description Amount
    Other Important Information:
    Check number: Date:
    Prepared by (Initials): Posted by (Initials):