Eubanks Intermediate Pto Request Form
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1EUBANKS
I NTERMEDIATE
PTO
R EQUEST
F ORM
Date:_____________________
Name:_______________________________
Choose
O ne…
Parent____
T eacher____
S taff____
Phone______________________
E mail__________________________
Item
r equested:
P lease
i nclude
d etailed
d escription
f or
r eview
Cost:
P lease
a ttach
e stimates
( along
w ith
s hipping
a nd
t axes)
Who
w ould
b enefit
f rom
t his
d isbursement?
______________________________________________________________________________
Principal’s
c omments:
______________________________________________________________________________
Please
s ubmit
r equests
t o:
Trisha
M cKeel,
E ubanks
I ntermediate
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