Michiana Chapter, BMW
CCA 
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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 Eve Dolenski if you have
questions about this form (phone 269/969-7492 or via Email).
Name: __________________________________________________
Address: __________________________________________________
__________________________________________________
Phone/Email: __________________________________________________
Please
provide the following:
- The vendor’s name and check
amount.
- The category that best represents your
request (please select from this list only): Autocross /
- Name(s) of officer(s) approving
requisition.
- 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: Eve Dolenski
- 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: __________________________________________________
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