Associated Students of Linfield College

Check Request Form

*Bold items are required

*Date Needed:
*Club/Cabinet:
*Amount requested: $
*Make Check Payable to:
*Reason for Request:
Class of Item(s): (Ex: Food, Service, Transportation, Supplies, etc.)*
*Check One:	Reimbursement (do not need to sign below) Advance (sign below) CC Payment (Dan's CC) Direct Payment
Signature of Requestor:	If receipts are not turned in within 2 weeks, this student account will be charged.

Check if Applicable
	Send to Unit #
	Name of other than Check Payee
	Please mail to
	Pick up in the ASLC Offices on
	Enclosure and/or special instructions
Attachments
Upload receipts, invoices, etc. in PDF, MS Word, or JPG format
File #1:
File #2:
File #3: