Penn Legacy - Check Request Form

Please submit payment request below.
Checks are cut weekly on Thursdays.
Please allow time for request approval, processing, and for mailing time.

Questions? email billing@pennlegacy.org


Enter Today's Date as 00/00/0000


Enter name of person completing this request form.


enter as format 111-111-1111






If payment is for tournament or other related to a team please complete this field.


If payment is for tournament or other related to a team please complete this field - note boys teams are listed after girls teams, please scroll to select the correct team.




Be sure to include confirmation of application if for a tournament fee payment request.


Do you have an invoice or document to attach. If so upload it please.


Enter as it should appear on check payment


Enter address to which payment should be mailed
ONLY if not on attached invoice





Enter total number of hours worked if applicable




Be sure to include a tournament application number if the request is for a tournament fee payment.






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