Chimera Class Attendance Form

Chimera Class Attendance Form

Submit this form (or its paper equivalent) to Chimera Accounting for payment.
Class Name
i.e. Laser Cut Night Light
Instructor Name

First NameLast Name
Instructor Email
example@example.com
Class Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yeardate the class was held
Class Fee per Student
typical amount per ticket - don't include fees
Attendees
Preferred Instructor Payment Method

Other
Payments are securely processed through our accounting team using Melio; please email your bank account and routing numbers to accounting@chimeraarts.org
Would you tike to use Melio
If mailed-not Melio, specify address to send payment to
i.e. PayPal email address, mailing address
Instructor Signature
Should be Empty: