Charity Event Cash Out Request Form
Submit your request to cash out funds from a charity event. Please complete all sections to ensure prompt processing. This form does not collect sensitive personal or financial account numbers.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Charity Event Name
*
Event Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Amount Requested (USD)
*
Preferred Cash-Out Method
*
Check
PayPal
Cash
Other
Last 4 Digits of Member or Employee ID (if applicable)
Reason for Cash-Out
*
Upload Supporting Documentation (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Request
Should be Empty: