YACHT CLUBS OF MARYLAND

Check Request/Payment Approval Form

Make check payable to (type or print name): _________________________________________________________________________

Address:_______________________________________________________________________________________________________

Phone: _______________________________________________________________________________________________________

Description/Purpose: ____________________________________________________________________________________________

_____________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Amount:___________________________

Special Instruction for Delivery: ___________________________________________________________________________________

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Requested by (Print name) ___________________________  Signature:___________________________    Date__________________

Approved by (Print Chair name) _______________________  Signature:___________________________   Date__________________

ORIGINAL RECEIPTS AND INVOICES MUST ACCOMPANY EACH CHECK REQUEST

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Date Received: _______________________                   Treasurer's Initials: _________________

Date Paid ___________________           Check number: ___________________          Amount: ______________________

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