Fund Request Form

MCPL Staff should use the below form to request funds. Please note that FOLMC processes checks electronically weekly. All requests $100 and over must include a funding approval from Director Vassallo. Any requests $100 and over without an approval may be delayed.

Name(Required)

First Last

Requester Email(Required)

Enter Email Confirm Email

Branch Name(Required)

Amount Requested(Required)

Is the Check needed by a Certain Date?(Required)

Yes

Note that checks are processed every week, typically on Wednesdays. Please submit request with at least one week notice.

Date Check Needed (Checks processed every Wednesday)(Required)

Purpose (Speaker Fee, Summer Reading Challenge!, Supplies)(Required)

MCPL Event Link(Required)

Website Link for Purchasing

For use if FOLMC should purchase item. If numerous items needed, add extra links in comment section.

Make Check Payable to(Required)

First Last

Check Payable Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Check Payable Email(Required)

MCPL Signed Approval (Required for requests $100 and over)

Max. file size: 128 MB.

Hidden

Receipt/Invoice(Required)

Max. file size: 128 MB.

Receipt/Invoice(Required)

Drop files here or

Max. file size: 128 MB.

Comments/Special Instructions

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