Hawthorne Elementary School P.T.A.
The Little School with the Big Heart
334 East Wakeman Avenue, Wheaton, Illinois 60187
Telephone (630) 682-2065
Fax (630) 682-2393
Check Request Form
Date of Request:
__________________
Due Date:
__________________
Amount:
__________________
Budget Account:
_____________________________________
Check Payable to:
_____________________________________________
Requested by:
_____________________________________________
Please fill in one of the following boxes:
Please send check home with my child:
Please leave check in my
mailbox/folder/office
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Please mail check to:
Name of Child's Teacher:
__________________________________
Address:
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Please place this completed form in the PTA Treasurer folder in the school office.
If this is a reimbursement request, please attach receipts.
If this is a cash advance request, please submit subsequent receipts to the PTA
Treasurer with a note.
Questions? Contact Ruth Lange at 630-673-0227 or ruthlange@yahoo.com
Treasurer's Use Only:
Check #:
_____________________
Budget Account:
_____________________
Payment Date:
_____________________
Delivery Method:
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