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Expense Reimbursement Request
Name
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First
Last
Email
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What is your preferred reimbursement method?
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PayPal (fastest)
Check (via USPS)
Is the email address you provided the same for your PayPal account?
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Yes, the email address provided is the same for PayPal.
No, I need to provide a different email address.
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Expenses
Program / Purpose
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Opening Retreat
Influence
Creative Thinking
Creating Change
Winter Retreat
Values & Ethics
Legacy
Graduation
Board - Selection
Board - Alumni
Board - Admin.
Payee
Expense Type
--
Supplies & Materials
Meals & Entertainment
Travel & Lodging
Marketing & Advertising
Dues & Subscriptions
Donations
Misc. / Other
Description
Amount
Payee
Expense Type
--
Supplies & Materials
Meals & Entertainment
Travel & Lodging
Marketing & Advertising
Dues & Subscriptions
Donations
Misc. / Other
Description
Amount
Payee
Expense Type
--
Supplies & Materials
Meals & Entertainment
Travel & Lodging
Marketing & Advertising
Dues & Subscriptions
Donations
Misc. / Other
Description
Amount
Program / Purpose
--
Opening Retreat
Influence
Creative Thinking
Creating Change
Winter Retreat
Values & Ethics
Legacy
Graduation
Board - Selection
Board - Alumni
Board - Admin.
Payee
Expense Type
--
Supplies & Materials
Meals & Entertainment
Travel & Lodging
Marketing & Advertising
Dues & Subscriptions
Donations
Misc. / Other
Description
Amount
Payee
Expense Type
--
Supplies & Materials
Meals & Entertainment
Travel & Lodging
Marketing & Advertising
Dues & Subscriptions
Donations
Misc. / Other
Description
Amount
Payee
Expense Type
--
Supplies & Materials
Meals & Entertainment
Travel & Lodging
Marketing & Advertising
Dues & Subscriptions
Donations
Misc. / Other
Description
Amount
Total
Receipts / Documentation
Please upload any receipts related to the requested reimbursement.
Max. file size: 128 MB.
Receipts / Documentation
Max. file size: 128 MB.
Receipts / Documentation
Max. file size: 128 MB.
Receipts / Documentation
Max. file size: 128 MB.