Transmittal Form

 

Printable .pdf

 

 

TRANSMITTAL REPORT

 

 

 

               Parish Name_____________________ Date Mailed _____________________

 

               Town____________________________Prepared By_____________________

 

               Parish CFSA Goal__________________Phone Number___________________

 

 

               1. Number of pledge cards enclosed ________________________________

 

 

               2. Total amount pledged on enclosed cards _____________________________

 

 

* * * * * * * * * * * * * * * *

 

 

               3. CFSA Parish Goal _______________________________________________

 

 

               4. Payment Enclosed _______________________________________________

 

 

               5. Total Previous Payments sent to CFSA Office ___________________________

 

 

               6. Misc. Adjustments

 

                                     Description                                 Amount

 

               a. _______________________ _______________________

 

               b. _______________________ _______________________

 

               c. _______________________ _______________________

 

               d. _______________________ _______________________

 

 

 

               7. Total amount remaining to reach parish CFSA goal ______________________

 

 

 

 

 

 

 

Back to top