Michiana Chapter, BMW CCA   Home Page   |   Contact Us

Requisition Form
(Revised 12/12/03)

Use this form to request that a check be mailed to you so YOU may pay a vendor. Print the form using your computer's printer. Contact Mike Harison if you have questions about this form (phone 269/684-6368 or via Email).

Name:__________________________________________________

Address:__________________________________________________

__________________________________________________

Phone/Email:__________________________________________________

Please provide the following:

1. The vendor’s name and check amount.
2. The category that best represents your request (please select from this list only): Autocross / Driving School / Insurance / Meetings / Newsletter (including newsletter postage) / Postage (everything except newsletter) / Telephone / Other Event
3. Name(s) of officer(s) approving requisition.
4. Provide a brief explanation of what the chapter is purchasing (i.e., envelopes, flags, dinners, etc.).

• Requests for $100 or less in any ONE category must have approval from at least one officer. Requests in excess of $100 must have the approval of TWO officers.
• Send your request to: Mike Harison, 700 Platt St. #23, Niles, MI 49120
• All checks will be mailed to chapter members for distribution to vendors (unless requested otherwise).

Name(s) of officer(s) approving Requisition: :__________________________________________________

Explanation of what the chapter is purchasing:__________________________________________________

Vendor	Category	Amount
Total >