AAS Check Request Form All direct payment requests (invoices/contracts) require a vendor W9. Note: This is for AAS club budget & discretionary funding reimbursement checks, NOT Student Activities/CAB reimbursement checks. To complete that form, go here. Name of Organization: * Requestor Name: * AC Box & ID Number : * Email: * Class Year: * First Year Sophomore Junior Senior Make Check Payable to: * Check memo reference: * Invoice number, payment reference Send Check To: Name: * Address or Campus Box: * City, State, Zip: Supporting Documents: * Upload a single PDF that contains scan of appropriate receipts, vendor invoices, and contracts for these items. Vendor W9: Please attach vendor W9 if request is for direct payment (e.g. invoice or contract) rather than personal reimbursement. Itemization of Request(s)Item 1 Semester: * Line Item: * Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: * Club Budget Discretionary Fund Master General Budget Line Description: * Payment Amount: * Item 2 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 3 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 4 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 5 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 6 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 7 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Item 8 Semester: Line Item: Indicate the line item number. For discretionary fund check requests, please make sure to also include the week (ex: week 11, 8a). Fund Source: Club Budget Discretionary Fund Master General Budget Line Description: Payment Amount: Validation Play validation audio Enable Javascript for audio controls Refresh validation image What text is in the image? * Enter the characters shown in the image or use the speaker icon to get an audio version.