Wufoo
Request for Fundraising Match
Clubs/organizations may request a maximum of $250.00 a year in fundraising matches.
Date
MM
/
DD
/
YYYY
Club/Organization
*
Name of Requester
First
Last
Email
Phone Number
###
-
###
-
####
Please provide a description of the fundraising activity:
*
Was the fundraising activity approved by the Coordinator of Student Activities?
*
Yes
No
Amount Requested:
Please provide a copy of the deposit form to the Coordinator of Student Activities.
*
Do Not Fill This Out