Fillable Transfer Of Funds Request - Transfer of Funds Request

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Transfer Of Funds Request - Transfer of Funds Request

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Chapter and Club
Transfer of Funds Request
!
Fresno State Alumni Association | www.fresnostatealumni.com | Phone: 559.278.ALUM | Fax: 559.278.6790
Chapter or Club Name:
____________________________________________________________
!
Instructions:
1. This sheet contains multiple “Transfer of funds” requests. Please complete as many as relevant.
2. This form should only be used when transferring funds from the operating account, to the scholarship
account.
3. Do not use this form to request payments or reimbursements. Use the “Payment/Reimbursement Form.”
4. Signatures must be original signatures (may not be a digital or type-written signature).
5. The preparer may not be the approved signer.
6. The approved signer must be an “Authorized Signer” on the chapter/club account.
7. Submit the completed form to Peter Robertson (probertson@csufresno.edu) via email (scanned
document), or fax (see footer of this page for fax number).
!
TRANSFER REQUEST #1
Transfer from:
Operating
Transfer to:
Scholarship
Name of scholarship:
______________________________________________________________________
Amount ($):
________________________
!
TRANSFER REQUEST #2
Transfer from:
Operating
Transfer to:
Scholarship
Name of scholarship:
______________________________________________________________________
Amount ($):
________________________
!
TRANSFER REQUEST #3
Transfer from:
Operating
Transfer to:
Scholarship
Name of scholarship:
______________________________________________________________________
Amount ($)
________________________
!
!
ACCOUNT SIGNER AUTHORIZATION
Prepared by (print name):
Date:
__________________
Approved signer #1
Print name:
___________________________________________________________
Signature:
________________________________
Date:
__________________
!
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Transfer Of Funds Request - Transfer of Funds Request

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Completed 3 May 2020

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