Student Chapter-Check distribution Foundation for Veterinary Dentistry

Information for donated funds to be distributed

Full Name of School
Faculty Advisor (name)
Faculty Advisor's Email
Number of students in club?
Chapter's President Chapter's President First Last
President's Email
Full Name checks should be made out to, this may be the club name, the school, your advisor or a school foundation

NOTE: if check is not deposited within 3 months it will NOT be replaced.
Please be sure to check with your school on how the check needs to be made out so the school can deposit to your club account.
What name should be on the priority mail envelope?

This is sometimes the advisor, or administrative assistant for the college. If it is going to a residence it would be the person living there.
Address for monies distribution Address for monies distribution
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please check with someone who works at the school what a good address is for receiving checks.
REQUIRED

By checking the yes box below, you are acknowledging that any checks received by the school will be deposited with 3 months or the check will become invalid and the funds will NOT be replaced.
Acknowledgement:

Acknowledgement: Yes
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