Club Funds Request

"*" indicates required fields

Club Name

Other: Enter Club Name*

Account Number*

Club Member Information

Name

First Last

Club President Information

Name

First Last

Date of Fund Request Notification

Club Advisor Information

Name

First Last

Date of Fund Request Notification

Upload Meeting Minutes*

Please upload minutes showing proof of approval

Drop files here or

Max. file size: 50 MB.

Was quorum present?*

Quorum includes 50%+1 eligible members on the official club roster; official meetings without quorum are prohibited.

Yes; Quorum was present – request is eligible to process

No; Quorum was not present – request is NOT eligible to process

Number of Eligible Members Present*

Sign-in Sheets may be requested for final approval

Number of YES votes*

Sign-in Sheets may be requested for final approval

Number of ABSTAIN votes*

Sign-in Sheets may be requested for final approval

Type of Request*

Cash Advance – Check made out to Advisor Only (Must be completed at least 4 weeks in advance

Reimbursement – Requires Original Itemized Receipts Only; clubs should pay to third-party vendors whenever possible (Provide receipts to ICC Advisor)

Pay Third-Party Vendor – Must include original invoice and W-9 for new vendors. All orders that do not have sales tax must have the amount accounted for in the quorum vote

Please Describe the Request for Funds

Make Check Payable to:

Please enter the Amount Requested

Payee's Address

Street Address Address Line 2 City State ZIP Code

Additional Supplemental Forms; invoices, quote, additional information

Drop files here or

Max. file size: 50 MB.

Third Party Vendor Invoices

Drop files here or

Max. file size: 50 MB.

Additional Supplemental Forms

Drop files here or

Max. file size: 50 MB.

Upload Original receipts, but you may upload copies here in addition to submitting original receipts

Drop files here or

Max. file size: 50 MB.

Terms & Conditions*

I affirm that the information I have submitted is correct and true. I understand that providing false information may result in the Club’s account being frozen, the club being suspended, and possibly individual consequences.

I Agree

This field is for validation purposes and should be left unchanged.

Club Member Information

Club President Information

Club Advisor Information

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