Reimbursement Request Form
Please fill out all fields on this form whenever you are approved to be reimbursed for expenses or wish to submit an invoice for services rendered to CBI Sisterhood. Please attach all receipts and/or invoices.
Name
*
First Name
Last Name
Email
*
How would you like to receive your reimbursement check?
*
Via Postal Mail
Pick up at CBI
Address to send mailed check:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Amount Requested:
*
Please type the decimal to show the exact amount.
Event Name:
*
e.g., Garage Sale, First Friday Dinner, Break Fast, Chai Tea, End-of-Year Dinner, etc.
Approved by:
*
Description of Item/Services *Note: Receipts/Invoices must be attached
*
Receipt/Invoice Upload
*
Upload Receipts and/or Invoices
File types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx, txt, rtf
Cancel
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Additional Comments:
Enter the text as shown
*
Thank you!
All information must be filled out in order to receive a check. Please allow 1 week for pickup at CBI or 2 weeks for checks to be mailed. For questions, please contact the Sisterhood Treasurer, Carla Siegle, at carlas@cbiaustinsisterhood.org.
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