Lake Highlands Bands

Check Request Form

LHABC On-Line Check Request

This form is being tested. Please do not use the on-line request at this. A pdf format is available by clicking "Forms" above.

Reminders: Sales Tax Will Not Be Reimbursed.
Sales Tax Exemption Forms are available from the Treasurer.

Receipts must be emailed to carol.barrows@sbcglobal.net before this request can be processed.

Name: *
Street Address 1: *
Street Address 2:
City: *
State: *
Zip: *
Email: *
Cell Phone: *
Home Phone: *
School: *
Budget Account: *
Approved By: *
Requested Amount: *
Description: *
Check Delivery: *
Other Information:


Information to be completed by Treasurer:
Treasurer:
Date Paid:
Check #:

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Check Request Form