Please Note:
1. Only the Treasurer or President of a club may fill out this form.
2. Do not fill out this form until you are ready to submit, because it cannot be saved.
3. All fields are required.

1. Club president or treasurer submits this form.
2. Club president or treasurer hands all money and receipts to a Student Development staff member at the Student Empowerment Center in the SSC Lobby, Monday through Thursday, 9am to 5pm.
3. The Student Development staff member will count and confirm your deposit.
4. You will enter your deposit information into your Budget sheet in Dropbox.

Your Name *
Your Name
Club Adviser's Name *
Club Adviser's Name
Please enter all receipt numbers. You can use a range, like 100-104, or individual numbers, like 101, 102, 103, 104.
How was this money raised? Be specific. List the number of ASB Stamps booklets sold, Donation from a specific group or person, etc.