GNSS Check Request/Reimbursement Request Form

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach a file/picture/scan of each receipt or supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurer will e-mail you when your check is ready to be picked up or has been mailed to you.
Questions? Please e-mail our treasurer at meridianhsptsatreasurer@gmail.com.

Please remember: Please give all vendors a copy of our sales tax exemption form to avoid being charged sales tax when you make your purchase.

Make check payable to:

Grand total amount for reimbursement:

Would you like to pick up the check or have it mailed to your home (the address on your contact record)?*

By clicking below, you affirm that this reimbursement is for funds used for an appropriate Grad Night event/purchase. This is considered your electronic signature.

I agree to these terms

To submit this form, you must agree to the terms.

Vendor

Expense category*

Amount