Heart of Phoenix Reimbursement Form
Name
First Name
Last Name
How should we reimburse? Paypal, Venmo, check or Zelle? Please include address or user name or emai
Indicate Horse(s) expenses are related to *
E-mail
Your E-mail Address
Expense Detail
Expenses List
Purchase Date
Product/Service Description
Cost
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Total from Expense list
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I certify that all information entered above is valid and true.
Upload any receipts here, if needed
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