REIMBURSEMENT REQUEST

In order to be eligible for reimbursement, expenditures must either 1) be pre-approved by the program or event chairperson (or the RooFriends President for programs and events without a chairperson), or 2) be associated with an approved Staff Grant.

To receive reimbursement for expenditure(s), complete this form and attach receipts or invoices.

REIMBURSEMENT CHECKS WILL BE ISSUED WITHIN 30 DAYS OF YOUR SUBMISSION.

If you have any questions, please contact us at info@roofriends.org.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Make check payable to:

Expenditure category

Staff Grant request?

This request is associated with an existing RooFriends Staff Grant

Description of purchase

Note to Treasurer

Total reimbursement requested

Sum of all receipts

$

REIMBURSEMENT REQUEST

Friends of Roosevelt Middle School Foundation