NORTEX Expense Form

         
NORTH TEXAS SQUARE AND
ROUND DANCE ASSOCIATION
REQUEST FOR PAYMENT
Date:Payee:
Address:
City, ST, Zip
Check One:
NORTEX ExpenseCommittee Expense (Please specify)
Installation Dance Expense
Round-Up Expense
Promenade ExpenseAppointed Officer Expense (Please specify)
Other
1.$
2.$
3.$
4.$
5.$
6.$
Total $0
Pay directly to vendor
Pay to office or chairman
SignatureCheck #
Officer/TitleDate of Ck
PhoneAccount #
Please attach supporting receipts. APPROVED:
Executive Board Member