WHS Jaguar Booster Payment/Reimbursement Form

Windham Jaguar Boosters

Request for Vendor Payment or Reimbursement of Funds

Please complete all required fields on this form. Once form is submitted it will be routed to the teams coach, then the Athletic Director(Jon Hall), and then the Booster President. Once all signatures are complete it will be routed to the Booster Treasurer or the Team's Treasurer (only applicable to Football, Boys Basketball and Baseball). The Treasurer will then issue payment to the vendor or reimbursement to the individual. Once the Treasurer has received the completed form, it will be @ 1 week until a check is recieved in the mail.

If there are any questions on this process, please send an email to windhamjaguarboosters@gmail.com

Thank you!

Person Submitting Payment Request*

First NameLast Name

E-Mail of Person Submitting Request*

example@example.com

Date of Request:*

Date

WHS Team Requesting Funds

Payment Made To: (Vendor or Reimbursable Individual)*

First Name or Vendor/Company NameLast Name or Vendor Contact

Mail Payment To: (Vendor or Reimbursable Individual)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number: (Vendor or Reimbursable Individual)*

Email (Vendor or Reimbursable Individual)*

example@example.com

Items/Services Purchased: Please outline in the following chart what items/services are being purchased: *

	Date	Quantity	Description	Price
Item/Service #1
Item/Service #2
Item/Service #3
Item/Service #4
Item/Service #5

TOTAL*

Please attach invoice/receipt. Payment cannot be made without an invoice/receipt*

Intended Use of Good Purchased (Fundraising, Direct Student Benefit, Other (explain))*

Team Coach’s email:*

Email for coaches approval