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The Palmyra-Macedon Soccer Club, Inc.
PO Box 564
Macedon, NY 14502

Submit Voucher Online for Payment
1. Fill in this form.
2. Check the box for 'I attest...'
3. Click Submit.
4. Goes to Club President for approval.
5. Club Treasurer will then issue a check.

Date:

Who to make the check payable to:

Who to mail the check to:
Leave blank for "same as above"

Street Address:

City/State/Zip:

Your Name:
Leave blank for "same as above"

Your Email Address (for notification):

Summary of Claim (40 chars. max):

Click here for a sample filled-in form.     &
Qty Description Unit Price Qty x Unit Price
$ $
$ $
$ $
$ $
$ $
Notes:
I attest that this is a valid claim for actual expenses incurred, and I request that a check be issued. Shipping/Handling $
Taxes $
Grand Total $