YTN Designer Reimbursement Form
Production Expense: Code 50900
Designer Name
First Name
Last Name
Email
example@example.com
Name of Show
Position
Costume Designer
Prop Designer
Other
Please upload your expense sheet
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Choose a file
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of
Please fill out your expenses
Amount to be reimbursed (Please enter total from above spreasheet)
Please upload your scanned/photo of receipts
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Choose a file
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of
Address for Reimbursement Check
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: