INSTRUCTIONS

Complete all the required fields . The information provided will be emailed to the Treasurer who will then authorize the Bookkeeper to cut a check.

You may also download the PDF request form

Name of Requestor

First Name

Last Name

Email of Requestor

Phone Number of Requestor

(###)

###

####

Make check payable to

Mail Check to this address

Name of Class and Date(s)

Provide the date(s) of the single class/workshop that was run

Fee per Student

(Example: $50 per student)

Number of Students Enrolled

(Example: 3 students enrolled)

Total Fees gathered (Gross)

This should equal the total students enrolled times the per student fee. (Examples: 3 students X $50/student = $150)

Amount Due to Teacher (NET)

This amount should be the GROSS less the 30% studio commission to equal the NET amount. (Example: $150 gross X 0.70 = $105)

Message

Provide any other notes or information to help complete this payment