WELLWOOD YACHT CLUB
Check Request/Payment Approval Form
Make check payable to (type or print name): _________________________________________________________________________
Address:_______________________________________________________________________________________________________
Phone: _______________________________________________________________________________________________________
Description/Purpose: ____________________________________________________________________________________________
_____________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Amount:___________________________
Special Instruction for Delivery: _____________________________________________________________________________________________________________
Requested by (Print name) ___________________________ Signature:___________________________ Date__________________
Approved by (Print name) _______________________ Signature:___________________________ Date__________________
ORIGINAL RECEIPTS AND INVOICES MUST ACCOMPANY EACH CHECK REQUEST
Date Received: _______________________ Treasurer's Initials: _________________
Date Paid ___________ Check number: ______ Amount: ______________________