CHELAN ATHLETIC BOOSTER CLUB

TEAM ACCOUNT WITHDRAWAL

Requests from individual team accounts should be made with this form. It is the responsibility of the person making the withdrawal to complete this form. Only individuals officially recognized for a specific team will be allowed access to their team account.

Please allow at least one weeks notice for the withdrawal. This form is for accountability of funds and record keeping purposes only for the CABC.

Date of request: ______________________

Person and team account making request: ___________________________________

Signature: ______________________________________________________________

Telephone number: ____________________ e-mail: __________________________

Amount requested and purpose: Please be as specific as possible. You may also attach receipts or other documentation. *Include the name or business to which the check should be written.*

_______________________________________________________________________

For CABC use only:

Date: ____________________ Check #: _____________________