Print this form out and turn it in:
STUDENT CREDIT REQUEST FORM
Student Credits may only
be used toward official choral group trips, director approved private
lessons, and other director approved choir related expenses.
DIRECT PAYMENT. Payment
will be made directly to a travel agency, voice teacher, etc. Attach
invoice showing the amount due and to whom the payment is to be sent.
Payments to WLW Boosters, WLW Choir or WLW Musical (for show dues) do
not require an invoice.
REIMBURSEMENT. Payment will be made to you for choir related expenses that you have already made. Paid receipt must be attached to request.
Requests must be submitted by the last day of each month.
Checks will be written and dispersed by the 15th of the following month.
All payments are subject to having sufficient credits in your account.
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PRINT CLEARLY & FILL-OUT FORM COMPLETELY.
Student Name: ______________________________________________ Date: ________________
Home Phone: ____________________________ e-mail: ___________________________________
Parent or Student Signature: __________________________________________________________
Please check one: Direct Payment: _______ Reimbursement: _______
AMOUNT OF REQUEST: _____________
Attach receipts or invoice.
Purpose: __________________________________________________________________________
(voice lessons, uniform, solo & ensemble fees, musical dues, trips, choir gear, etc)
Payable to: _________________________________________________________________________
Address: ___________________________________________________________________________
City, State, Zip ______________________________________________________________________
Questions / concerns, contact:
Ann-Marie Sharpe
WLW Choir Booster Treasurer
pammss@comcast.net
248-669-3118
Revised 4/2009 | 
