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Mustang Club Request Form

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Mustang Club Request Form

Department Requesting Item:

Operations Committee Rep:

Teacher Requesting:

Phone Number at School:

Email Address:

 

Requested Item:

 

Is this a new item or replacement item:

 

Quantity Requested:

 

Cost per Item:

Discount (if you can get one):

Total Cost:

 

Which grades and / or classes would this benefit:

 

Outline the benefits to the students, community and / or organizations your request will enhance:

 

 

 

What other department would benefit from this request:

 

Are you partnering with another department?  Specify:

 

Would you have funds in your department to partner with Mustang Club if entire project cannot be funded:

 

 

 

Can you work with less quantity than requested, if monies are not available to fill the entire request:

 

Other comments:  (use other side if you need additional room or attach separate sheet)

 

 

 

 

 

 

RETURN REQUEST FORM TO THE MUSTANG CLUB MAILBOX LOCATED IN THE OFFICE

 

 

 

Mustang Club Use Only

 

Request No.

 

 

Date Approved Date Paid Check No.

 

 

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