Expense Reimbursement Form
Kennesaw Mountain High School Takedown Club
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
Your E-mail Address
Category of Purchase
*
Example: wrestling room supplies, snacks, etc)
Expense List
Purchase Date
Description
Cost ($)
1
2
3
4
5
Total Cost
Receipt
*
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Notes
The information provided in this submission is accurate and valid to the best of my knowledge. By submitting, I confirm that all details are true and may be verified by the receiving party. Any false information may lead to consequences as per applicable laws and regulations.
*
I certify that all information entered above is valid and true.
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