DONATION/LOAN/REIMBURSEMENT

DONATION/LOAN/REIMBURSEMENT
SUBMISSION FORM
Date

MonthDayYear
Date
I am submitting a:
Member Name
First & Last
Deed Number
Leave blank if unknown
Email
example@example.com
DONATED ITEM(S) / PURPOSE OF DONATION

PLEASE INCLUDE SERIAL NUMBERS IF POSSIBLE
List donated items and the purpose of the donation
Approximate value of donation:
I am giving ownership of the above-listed item(s) to Meramec Valley Owners' Association.
Member Signature

Clear
REIMBURSEMENT

Member must have prior approval by MVOA Board of Directors AND provide receipt(s). Upload receipts below.
I am requesting reimbursement of:
Enter dollar amount here.
Receipts attached:
LOANED ITEM(S) / PURPOSE OF LOAN
List loaned item(s) and the purpose of loaning items:
I am loaning the above item(s) to MVOA until:

MonthDayYear
Date
Member Signature

Clear
Location of item(s) at drop-off.
Please submit photos of receipts or items donated / loaned to assist in tracking inventory.

Cancelof
Thank you for your generosity!
Should be Empty: