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NVWF  TREASURER’S  FORM
  
 
CLUB NAME: __________________________________________________________________________________
 
       
Choose Request:  1) Deposit to NVWF                          2) Check from NVWF 
 
Amount:  ____________________________________________________________________________
                 
Reason _____________________________________________________________________________________
 
FOR CHECK REQUESTS:
(include copies of contracts or receipts)

 
Payable to: _____________________________________________________________________________________
  
Date: _________________________________________________________________________________________
 
Mailing Address:  ________________________________________________________________________________
 
Contact Name & Phone Number: ____________________________________________________________________
 
Send this form;
1) alone with your club’s registration check for deposit*      …OR FOR
 
2) reimbursable with receipt, 3) $750.00 Host Fee two weeks before your meet date, and
 
a separate form for 4) the $300.00 athletic trainer fee to:
 
NVWF Treasurer
c/o James Zoller
6329 Bob White Drive
Warrenton, VA 20187
 
(*This form is used to send or request monies only, do not send with Registration Forms.)