Domino'S Pizza Form

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Peggy Reid
DOMINO'S: PLEASE ATTACH THE RECEIPT HERE.
Account Receivables
Team Washington, Inc.
714 Church Street
DO NOT COVER THE INFORMATION BELOW.
Alexandria, VA 22314
FOR SBA FINANCE USE ONLY
Ref. No: ________ Date: _____/_____/_____
Amt: $______.____ Org: _______ Fund: R C
Domino's Invoice No: __________________
Signature: ___________________________
DOMINO'S PIZZA FORM
ORGANIZATION:
ABBREVIATION:
TREASURER:
SIGNATURE:
DATE:
EVENT DESCRIPTION
FUND REQUEST:
C
R
WAS THE EVENT FROM AD HOC FUNDING?
YES
NO
WAS THE EVENT OPEN TO THE WHOLE LAW SCHOOL STUDENT BODY?
YES
NO
ORDER DESCRIPTION
NUMBER OF PIZZAS:
BEVERAGES:
YES
NO
OTHER ITEMS:
NUMBER OF DRINKS:
SUBTOTAL:
(Determine when ordering)
TIP:
TOTAL:
(Amount billed to GW Law School)
- Call Domino's at (202) 223-1100 to place your order and tell them you will be paying with
the GW Law School pizza form. Present this form to them upon delivery. -

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