Pre-paid Unit Account Authorization


Page 1 of 4

Pre-Paid Unit Account Authorization Form
This form must be submitted with the registered Unit Committee Chair's email address for secondary validation of authorized users.

* Unit Type
* Unit Number

* Unit Treasurer Name
* Unit Treasurer Street Address
* Unit Treasurer City
* Unit Treasurer State
* Unit Treasurer Zip
* Unit Treasurer Best Phone
* Unit Treasurer Email
Required for monthly unit account statement report

* I would like to add addtional authorized users to this account
yes no

* I would like to provide a shipping address for purchases made against this account
yes no