Sport Club Expenditure of Funds

Club
Today's Date Today's Date / MM / DD YYYY
Club Representative
Email
Phone Phone - ### - ### ####
Description (tournament entry, facility rental, organization dues, etc.):
Name of Tournament, Organization or Facility
Federal Tax ID Number (vendors/school paying)
Date of Tournament/Event Date of Tournament/Event / MM / DD YYYY
Date payment needed Date payment needed / MM / DD YYYY
Payee mailing address Payee mailing address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Tournament, Organization or Facility Contact Individual
Email
Phone Phone - ### - ### ####
Check Payable to
Cost (please provide breakdown if necessary):
Must upload invoice and/or e-mail message.

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