Payment Request Form

Thank you for serving at Camp Ao-Wa-Kiya. Please fill out the following payment request form to be compensated for your work. A check will be mailed to the address provided once your submission is approved.

Name

First Name

Last Name

Job Completed

Event you Worked at

Amount To Be Paid (If Known)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Additional Information

Office Approval

Filled out by Camp Office