Date of Request * Year Year20152016 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Student Club/Organization Name * President/Treasurer Name * FSU Email * Phone Campus Advisor Name * FSU Email * Phone Organization Information Name of Bank * Name of Account * Club/Organization Federal Identification Number (FEIN) * To find Club/Organization FEIN that already exists, please contact the SGA Advisor, Student Activities Program Director, or the Procurement Office. To create a FEIN, contact the Procurement Office 304-367-4845, 304 HB. Please Attach an Invoice of Desired Purchase(s) * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Estimated Total Cost of Items/Services * $ Please explain how this money will be used and how the item(s)/activity/event will pertain to the mission or purpose of your club/organization and/or the mission or purpose of Fairmont State University. * If for a specific event, please provide event details (such as name of event, date, time, location, etc.). Questions? Contact SGA Advisor Meagan Gibson (105 TC) @ (304) 333-3665 or email firstname.lastname@example.org *** In order to process the information, SGA will need a copy of your invoice. *** Attach Invoice Files must be less than 2 MB.Allowed file types: gif jpg png pdf.