FORM 301A – CHECK REQUEST                
                                                           
            Date of Request           
            Date Check Needed         
            Event or Purpose          
            Committee                 
            Check Requested By        
            Phone Number              
            Requested $ Amount        
            Reason for Check            Reimbursement      Deposit      Payment 
            Payee Name                
            Address                   
            Deliver Check To          
            
            Committee Chair Approval Signature     
            Board Approval Signature               
            Check #                                
            Check Date                             
            Check Amount                           
            Received By                            
           10/2/2024