OHS Boosters Reimbursement Request

Oakton Boosters Expense Reimbursement

Complete the information below to request reimbursement from the OHS Booster Club. If you have any questions, please email OaktonBoostersTreasurer@gmail.com
Request Date*

MonthDayYear
Date
This form is being completed by:*

First NameLast Name
Email address for above person:*
example@example.com
Name of Person or Company to be reimbursed:*
Preferred method of reimbursement:*

PayPal - within 1 weekMailed paper check from Bank - within 3 weeksZelle - within 1 week (must already be enrolled in Zelle)
PayPal or Zelle reimbursement address:
Enter email or phone associated with either PayPal or Zelle
Mailing address (only necessary if check is being mailed):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number *
Format: (000) 000-0000.
Select team:*
Provide purpose of request & any additional comments to be shared with Treasurer*
Include the items purchased and purpose. Ex: $48.00 for 16 doz. cookies for after-concert reception on 11-13-16.
Amount Requested for Reimbursement*
Please list the total reimbursement request for all expenses outlined above.
Attach receipts for itemized expense(s) listed above.*

Screenshots, images, files etc showing expenses.
Cancelof
Should be Empty:

Oakton Boosters Expense Reimbursement