Wright State University
Student Organizations
Signature Card
Organization Name:
Please fill out and return to the Department of Student Activities.
Primary signatures required.
Signature:________________________________________________
Title:____________________________________________________
Address:_________________________________________________
Phone:__________________________________________________
Signature:________________________________________________
Title:____________________________________________________
Address:_________________________________________________
Phone:__________________________________________________
Signature:________________________________________________
Title:____________________________________________________
Address:_________________________________________________
Phone:__________________________________________________
Date: _____________________
Representative / Student Activities: __________________________________________
The above people are the only ones authorized to sign for withdrawals from your funds on deposit at the Department
of Student Activities.
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