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Withdrawal Request Form
Withdrawal Request Form
Special Libraries Association
Pooled Fund Account
Withdrawal Request Form
Pooled Fund Account
Withdrawal Request Form
The __________________________________________ Chapter/Division requests a withdrawal from the Pooled Fund in the amount of $_______________________. It is understood that the withdrawal will be processed within one week of receipt.
Date ________________________________
Authorized Signatory ________________________________
Authorized Signatory ________________________________


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