Funds Received Submission
Date
*
/
Month
/
Day
Year
Date
Payer Name
*
If this payment came from a 3rd party (Schwab, Fidelity, The Donors Fund, etc.), please write in the notes section the account name that it should be applied to.
Address
If new payer only
Payer Email
If available
Payment Type
*
Please Select
ACH/Wire
Cash
Check
Zelle
Amount Received
*
Date Received
*
-
Month
-
Day
Year
Date
Check Date
*
/
Month
/
Day
Year
Date
Check #
*
Bank Account Deposited To
*
Designation
*
Please Select
Donation
Tuition
Other
Notes/Context
*
Form Submitted By
*
Submit
Should be Empty: