BSCC Receipt Upload Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
example: 123-456-7890
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vendor
*
Date of Purchase
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
When providing a description of the items, please group similar items together.
Example: hotdogs, ketchup, rolls = "FOOD"
When providing details for use, please describe if its for an event.
Example: office supplies, Youth Shoot, Clean-Up, etc
Item #1
Item #1
*
Item #2
Item #2
Item #3
Item #3
Item #4
Item #4
Item #5
Item #5
Payment Details
Mode of Payment Used?
*
Club Credit Card
Personal Credit Card
Club Check
Personal Check
Cash
If personal card was used, how much is being requested?
Please upload your payment receipt. (This is required for auditing purposes)
*
Browse Files
Drag and drop files here
Choose a file
jpg, jpeg, png, gif (1mb max.)
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of
Additional Information
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