PTA Disbursement Request Form

PTA Disbursement Request Form
Please use this form to request reimbursement or vendor payment for approved PTA expenses. Questions? Please email treasurer@pointersrunpta.org. Thank you for your support of the Pointers Run PTA!
Disbursement Information
I am submitting a:
Amount requested:
Pay to the order of:
Charge to PTA account:
Family Fun Committee Sub-Account:
PTA Store Sub-Account:
Social Committee Sub-Account:
Preferred disbursement receipt method:
If check, address to which check should be mailed:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If Zelle, phone number or email to receive funds:

Itemized expenses

Disbursement Information