THE GOLDEN STATEGAY RODEO ASSOCIATION
CHECK REQUEST

DATE:	TELEPHONE:
REQUESTED BY:	COMMITTEE:

VENDOR NAME:

VENDOR ADDRESS:
Street: 
   City:    State:    Zip: 

Mail Check Directly To Vendor (check one):   YES    NO   ( If NO, give instructions )

Description of Purchase	Committee Name	Amount
	TOTAL REQUESTED:

COMMITTEE CHAIR SIGNATURE: 

MAIL TO:
GSGRA
P.O. Box 3262
Palm Springs, CA 92263