Applause: Reimbursement Form
Full Name
*
First Name
Last Name
Email
example@example.com
Category
*
Please Select
1) Orchestra: Team Snacks
2) Band: Team Snacks
3) Chorus: Team Snacks
4) Purchased from Quest
5) Spaghetti: Decorations
6) Office Supplies
7) Form/Ticket testing
8)Others: Software purchase etc
9) Middle school: Pizza Outreach
10) Field Trip: BOC
Receipt Date
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2027
2026
2025
Year
Total Receipt Amount
*
Card used for purchase
*
Paid with Own Credit card
Paid with Cash
Paid after Approval with Applause card
Paid with check from Applause
Requested Amount of Reimbursement
*
Address to mail out the Check
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please submit a photo/copy/PDF of the receipt by uploading it below.
Allowable file formats: .jpg, .gif, .png, .pdf
*
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Additional Details (if necessary)
*
Signature that all details provided are correct
*
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