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| Tri-Town Educational Foundation |
| Funding Request Form |
| 1. Please instruct all vendors to send their invoices to you, not directly to the foundation. 2. Fill in the Educator section of the form for each vendor invoice you wish to submit. 3. Attach copies of invoices to this form. We do not need copies of purchase orders. 4. Please provide vendor mailing address if not noted on the invoice. 5. Mail completed form with copies of invoices to: Tri-Town Educational Foundation, P.O. Box 100, Topsfield, MA 01983 |
| Date Amount Requested Pay To Grant Name Educator Name Educator Signature |
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| GL Account # Check # Date Paid |
| This Section for use by Tri-Town Educational Foundation |
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| This Section to Be Completed by Educator |