| Date: ______________ |
| |
| Organization Name: |
| _____________________________________________________ |
| |
| Source of Deposit (Fundraising Event) |
| _____________________________________________________ |
| Information purpose only |
| |
| Deposit made by: |
| ______________________________________________________ |
| Signed/Verified by Student Organization Representative. |
| |
| Cash____________________ |
| Checks__________________ |
| Checks__________________ |
| Checks__________________ |
| |
| Total Deposit _____________________ |