ASSOCIATION DUES APPROVAL FORM
Instructions: Complete and return to Procurement Office for final (President’s) approval
Name of Association:
Check one:
New to
the current Expenditure Schedule
Co
s Annual Dues Amount
More
than 10% rate increase of the current approved Expenditure Schedule
Last y
ear’s dues
This year’s dues
Payment Source:
Depa
rtment:
FUN
D ORG
ACCOUNT
For Procurement Use only:
This association due is not on the approved Expenditure Schedule; however,
I do hereby approve for payment.
Thi
s association due exceeds our Expenditure Schedule by more than 10%; however,
I do approve for payment.
___
____________
_______________________________________
Mirta M. Martin, President
Date
“I her
eby certify that the fee for the aforementioned association due will be funded by
our departmental funds listed above.”
__________
________________________________ _________
Budget Manager Signature Date
H134XX
