Eagles Theatre Company Boosters - Payment Request Form

Payment Request Form

Edison Theatre Company
Name*

First NameLast Name
Email*
example@example.com
Please select ONE of the following:*

The expenditures below are NOT for a specific showThe expenditures below are for a specific production/show
If specific production/show, please state below:
Total Amount Due:*
Add all Costs above
Payment type

Paid via personal credit card/checkPaid via Boosters Debit/Credit Card
Make Check Payable To (if applicable):
First Name, Last Name
Send or Give Check To (if applicable)
Please scan or take a photo of receipts and/or invoices and upload one at a time.
NOTE: For non-budget items, upload payment authorization (email, meeting minutes, etc.)
Browse Files

Cancelof
Should be Empty: