Cheque Requisition Form (Raiders Hockey Club)
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Cheque Requisition Form
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Cheque Requisition Form
Team Name
*
Select One...
U8
U9
U10 Black
U10 Red
U11 Black
U11 Red
U12 Black
U12 Red
U13
U14 Black
U14 Red
U15
U16
U18
Team Category
*
AA/A Black or U10 Atom MD
Your Name
*
Your Email Address
*
Example:
[email protected]
Item/ Activity
*
What is the cheque for?
Date of Item/Activity
*
If multiple dates, please indicate
Cost
*
Funds
*
CND
US
Check All That Apply
Make Cheque Payable To
*
Full Name
Mailing Address: Street
*
City, Province
*
Postal Code
*
Please Scan and attach a copy of the invoice/ bill
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
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