Rotary Club of York

It is essential that all debits and credits to the club’s funds are recorded and this form is for use when the normal documentation is not available  

To the Honorary Treasurer – Tim Hinton  

  Debit Request –

  Could I have a cheque for ………………. made payable to:  

   ……………………………………………………………………………………..................................................

  The cheque is required for ………………………………………………………..................................................

  ………………………………………………………………………………………...............................................

  and should be drawn on the Charity/General (delete as appropriate) Account  

  An invoice should be forwarded as soon as possible.

  Deposit –

  I enclose the sum of £…………………..comprising:

  Cash ……………...........

  Cheques ……………….

  TOTAL…………….......

  The remittance comprises funds from……………………………………………... ............................................ 

  ………………………………………………………………………………………. .............................................

  and should be credited to the Charity/General (delete as appropriate) Account

 

From Rotarian - …..………………………..……………..(Block Capitals Please)  

PLEASE PRINT OFF COPIES AS REQUIRED