Form CDD-007

Revision 00
SPECIAL TRAINING REFUND / PAYMENT ORDER SLIP

NAME OF TRAINING: ________________________________________________________

DATE OF TRAINING: ________________________________________________________
RANK: ___________________________________________________________________
NAME: ___________________________________________________________________

PLEASE PAY AND REFUND THE FOLLOWING EXPENSE TO CREW:

TRANSFER _________________________
DORM _____________________________

ACCOUNT NUMBER: ____________________________________________________________

NAME OF BANK: ______________________________________________________________
ACCOUNT NAME: ______________________________________________________________

__________________________
SIGNATURE OF CREW

VERIFIED BY: APPROVED BY:

__________________________ _____________________

CREW DEV’T. DEPT. PRESIDENT