Receipt Submission and Reimbursement Request Form
Please use this form to submit receipts and/or request a reimbursement. Please secure approval from the Board Member over the area BEFORE any purchase. Purchases made without prior approval may not be reimbursed.
I am submitting a...
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Reimbursement Request - for items purchased with personal funds
Receipt - for items purchased with ATL funds
I understand that if I did not obtain prior approval for the expense, my reimbursement request may not be approved.
Yes
Your Name
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First Name
Last Name
Your Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Mailing Address (Optional - only needed if mailing reimbursement check)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Last 4 digits of Card Used
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Date of Purchase
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-
Month
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Day
Year
Date
Name of Merchant/Vendor
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Amount of purchase
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Amount must match total on receipt
Purpose
Tech Meals
Sets (Paint, Build Supplies, etc)
Costumes/Hair & Makeup
Props
Administration (Supplies, Services)
Show Rights, Music, Scripts
Marketing (Advertising, Posters, Playbills, T-Shirts, etc)
ATL Student Club (Administrative, Activities)
Competition Fees (One Act, Schuler)
Thescon Fees
Theatre Improvements (building, curtains, sound system, etc.)
Production Tech Equipment (mic, lights, electrical, etc.)
Concessions (Candy, Flowers, Stargrams, Water, Other Supplies)
Front of House (Trophy Case, Photo Boards, Lobby Decor, etc)
Refunds (Production fees, meals, other fees, etc.)
Other
Show Name (If unsure, choose General)
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Please Select
Between the Lines
Junie B Jones
Twelfth Night
My Fair Lady
Thescon
General
Notes:
If the expense is split between different areas, please indicate the breakdown here
Receipt Upload: Please submit receipts in PDF format.
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