EmailMe Form - 2021/2022 Club & Organization Voucher

Voucher No.

Date *

MM / DD / YYYY

Budget or Special Account *

Please select correct funding account

Cash Advance (for Requests Less than $100.00)

The individual listed in the "Payable to" will be required to submit all receipts/invoices, the program attendance roster and any unused cash within five days of the program date.

Club/Organization Name *

Budget Line Item *

Purchase Order (if applicable)

Invoice Number *

If an invoice # is not available, examples: Walmart, Weis, Dollar Tree, etc.

Amount *

$ Dollars . Cents

Payable to *

LHU Student ID# (if applicable)

Address

City

State

Zip

SPECIFIC PURPOSE/REASON FOR EXPENDITURE: *

Mail or Pick-Up *

Email:

If you selected the pick-up option, please provide your email address

Invoices/Itemized Receipts

Please upload copies of invoices and/or itemized receipt if the request is from the budget or special account.

If a cash advance request, invoices and/or itemized receipts will be required at settlement.

Club/Organization Treasurer *

Once the form is signed by the Club/Organization Treasurer, please email the emailmeform link to the President.

Club/Organization President *

Once the form is signed by the Club/Organization President, please email the emailmeform link to the Advisor.

Club/Organization Advisor *

Once the form is signed by the Advisor, please SUBMIT.