LL - Form B - TRY Withdrawal Request

LL - Form B - TRY Withdrawal Request
Please complete all required fields to obtain your funds for They Represent You project only. Receipts must be attached or mailed.

The TRY needs to include the following statement: "Published by the League of Women Voters of (your League) and funded (or partially funded) by the League of Women Voters of Washington Education Fund."
Date*

MonthDayYear
Date
Name of League*
Contact person for local League
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
Local League Treasurer
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Amount requested
Amount requested from your Education Fund account*
Number of TRYs printed*
Cost of printing*
Cost of distribution (answer 0 if none)*
Other related expenses (please specify)
Overhead Expenses (add 20% for overhead expenses)
Anticipated Funds (List anticipated sources of funds and the amounts for this project)
Places of distribution*
Upload scans or pictures of receipts, or mail receipts to LWVWA office

Browse Files

Cancelof
Make check payable to:
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Local League President Approval
President has approved this request
Name of Local League President*

First NameLast Name
Email*
Should be Empty:

Contact person for local League