Lodge Fund Management Withdrawal Request

Lodge Fund Management Withdrawal Request
Select Fund to be Withdrawn
Lodge Fund
District Fund
Youth Club Fund
Withdrawal Details
Requested Amount $*
Explanation of the Intended Use of Funds*
Meeting Minutes
Upload meeting minutes reflecting member approval of the withdrawal. Minutes must include:
- meeting date
- quorum noted
- amount requested
- stated purpose of funds
Minutes must include the signatures of two non-related lodge officers (preferably president and treasurer).

For District fund - district council chair and treasurer.

For Youth Club fund - youth leader and another adult lodge officer.
Attach meeting minutes.*

Cancelof
Bank Information
Financial Institution
Routing Number (9 digits)
Account Number
Officers' Information
Name of Officer whose signature is included on the meeting minutes*

First NameLast Name
Officer Position*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name of Officer whose signature is included on the meeting minutes*

First NameLast Name
Officer Position*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Select Fund to be Withdrawn