Test Form Page

Blackbeard Sailing Club, Ltd.
Miscellaneous Club Purchases
Purchased By
Member Number
Address
Please check one
- This is a request for reimbursement. Reimbursements are normally paid by bank check which you should receive within 2-3 weeks. If you require faster reimbursement, please check this box to receive a manual check.
- This is a record of a purchase made on a Club credit card.
- This is a record of a purchase that will be billed to the club.
Please complete reverse of form to indicate which accounts should be charged. Ensure that the total below matches total on reverse.
Vendor / Store
Items Purchased
Amount
Total

Please reverse and fill in amounts to appropriate categories.
Notes
Board Member Approval
Signature
Print Name
Date

Blackbeard Sailing Club, Ltd.