Expense Reimbursement Form (Orangeville Tigers Girls Hockey)

Expense Reimbursement Form

First Name^*

Required

Last Name^*

Required

Email Address for EMT^*

Required

reimbursement will be e-transferred to this email address

Phone Number^*

Required

Example: ###-###-####

Reason for Reimbursement ^*

Required

Role within the Orangeville Tigers^*

Required

Please submit your receipt^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 10. Maximum File Size: 4MB.

All payment for reimbursement needs to be approved by the Executive and may take up to 30 days.

I agree to the terms and conditions stated above^*