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    Shunpike Check Request Template

    Uploaded by

    Kyle Levien
    This document is a basic fiscal sponsorship check request form containing fields for an organization to request funds from Shunpike to cover various expenditures like artist stipends, production supplies, travel costs, and other expenses. The requesting group must provide contact information, itemize the expenses, total the amount requested, and provide details on who should receive the check and their address.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Shunpike Check Request Template

    Uploaded by

    Kyle Levien
    128 views1 page
    This document is a basic fiscal sponsorship check request form containing fields for an organization to request funds from Shunpike to cover various expenditures like artist stipends, production supplies, travel costs, and other expenses. The requesting group must provide contact information, itemize the expenses, total the amount requested, and provide details on who should receive the check and their address.

    Original Description:

    Check Request Form Template for Shunpike in Seattle.

    Copyright

    © © All Rights Reserved

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    This document is a basic fiscal sponsorship check request form containing fields for an organization to request funds from Shunpike to cover various expenditures like artist stipends, production supplies, travel costs, and other expenses. The requesting group must provide contact information, itemize the expenses, total the amount requested, and provide details on who should receive the check and their address.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    128 views1 page

    Shunpike Check Request Template

    Uploaded by

    Kyle Levien
    This document is a basic fiscal sponsorship check request form containing fields for an organization to request funds from Shunpike to cover various expenditures like artist stipends, production supplies, travel costs, and other expenses. The requesting group must provide contact information, itemize the expenses, total the amount requested, and provide details on who should receive the check and their address.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    BASIC FISCAL

    SPONSORSHIP
    CHECK REQUEST FORM

    FOR SHUNPIKE USE ONLY


    Date Received
    Programs Manger Initial:
    Total Request:

    Group Name:
    Contact Name & Email:
    Total Amount of Request:

    I request funds to cover the following expenditures:


    Type of Expense

    Amount Requested

    Notes

    Artist/Production Stipends
    Administrative Stipends
    Production/Event Supplies
    Administrative Supplies
    Postage/Shipping
    Printing & Publication
    Travel & Transportation
    Meals & Entertainment
    Space Usage Fees
    Temp Equipment Fess
    Insurance
    Membership Dues
    Advertising
    Other (Please explain)
    Total Amount of Request:

    Name of payee*
    Signature of payee
    Date
    Address to mail check
    (or write pickup if
    planning to pick up at
    Shunpike office)

    *We must have a W-9 on file for payments to individuals and unincorporated
    entities.
    ADDRESS 3518 FREMONT AVE. N #118, SEATTLE, WA 98103
    TEL 206.905.1026
    EMAIL [email protected]

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