Payment Request Form - Lse Students' Union printable pdf download

Payment Request Form - Lse Students' Union

Payment Request Form

Please print clearly in BLOCK CAPITALS to avoid payment error or delay.

Payee (full name):

The person who needs to be paid

LSE email address:

In case of query

Date requested:

For staff use only

Details

Amount

Acc Code

Dept

VAT

Total amount being claimed

Name of club/society:

Reason for the claim e.g. venue booking,

catering costs

Where is this being claimed from? If

Club or Society Account

Other, please specify:

Annual Fund

unsure please ask your treasurer. Please

(e.g. sponsorship/

(e.g. AU Exec, Travel Fund,

Grant

tick as appropriate (✓)

membership sales)

elected officers)

Sort code (6 digits)

BACS details:

Account Number (8 digits)

IBAN number

For non-UK bank accounts:

Swift code (BIC)

Treasurer name*

Authorised by

(first signatory - treasurer)*

Authorised by

(second signatory - ARC staff)

*Please note that if the treasurer is the payee then the payment must be authorised by the president

Please return this to the Activities Resource Centre

Payment-Request-Form-Updated.xls / 20/09/2017

Payment Request Form - Lse Students' Union