Cash Receipts Report Form

Instructions:

List all checks received to date. One complete check entry per line to include Received from, Check Number, Check Date, Amount (separate each item with comma).
NOTE: Please limit each cash receipt form to no more than 28 checks to correspond with bank deposit slip limitation. When processing more than 28 checks, complete additional cash receipt forms as needed.

PRINT two copies (one to mail with checks, one for your file)
Submit form electronically (form will automatically be sent to the CGCI Financial Secretary and Treasurer)
Mail form and checks to:
CGCI: PO Box 823, San Fernando, CA 91341-0823

Your Name *

Date *

Your Email address *

Your Phone # *

Chairmanship (scroll to select) *

Line Code (scroll to select) *

List of checks (include name, check date, check # and amount; separate multiple entries with a comma) *

Total Amount Enclosed *

PRINT FORM (Print two copies before clicking on Submit)