TURPIN ATHLETIC BOOSTERS
Fill out this form and submit for reimbursements to be reviewed by Marshall
Month
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Day
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Year
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PAY TO THE ORDER OF
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Name of person or organization to be paid
ATTENTION
Fill out for a specific person in an organization
Address - Where to mail the check
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STREET ADDRESS
Street Address Line 2
CITY, STATE, ZIP
State / Province
Postal / Zip Code
TELEPHONE
*
# of Person to be Paid
E.I.N. OR S.S.N
Only required if paying for a service or payment is being sent to a business.
PAYMENT AMOUNT
REASON FOR PAYMENT
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Custodial Account(s) to Charge
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Boys Cross Country
Girls Cross Country
Boys Track
Girls Track
Upload picture or PDF of receipt
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Picture must show the complete receipt and clearly show the total
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