Expense Report
Date
-
Month
-
Day
Year
Date
Board Member Name
*
First Name
Last Name
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Email
*
example@example.com
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Preferred method of reimbursement
*
Zelle
By Check
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Enter Cell # or email address for Zelle
*
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Enter mailing address for reimbursement by check
*
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List expenses below
*
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Receipts
Browse Files
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Board Member Signature
*
Comments/Reason for Denial
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Should be Empty: