Prize Acknowledgment Form# 1500. Date: ... I herby acknowledge receipt of the
prize described above on this date as part of the program that is listed.
Prize Acknowledgment Form# 1500 Date:________________________ Description of prize:____________________________________________ Name of prize recipient :_______________________________________________(print clearly) Program that sponsored prize:_____________________________________ Awarded from club account #_____________________________________ I herby acknowledge receipt of the prize described above on this date as part of the program that is listed. ____________________________________________________. Signature of prize recipient
Please submit this form to Nicole Arthur in the SAI Business Office within 10 days of the event awarding the prize. Please make sure the recipient of the prize signs the form.
