This form is not approved by ASGSJ CAB and is not eligible for submission. It is in a Test only Phase. Please mark "turnips' for the payment preference if you are asked to test.

Expense Reimbursement Form

All items marked with * is required.

First Name

Last Name

Phone

Phone Type (pick one)

Mobile Phone

Land Line

Street Address

Street Address Line 2

City

State

Zip code

Payment will only be made if receipts are attached.

All expenses must be approved by the Committee Chair or the President.

Please be aware that this form will not be able to send you a copy. Please read the bottom of the page, thank you for your understanding.

Payment Preference

Check

Zelle (fastest)

Turnips (testing form)

Zelle contact (email or cell) if requesting Zelle as reimbursement.

Expenses
(For Supplies, please select Supplies under Choose an Option)

A. Date

A, Description of Service or Item(s)

A. $ Amount

B. Date

B. Description of Service or Item(s)

B. $ Amount

C. Date

C. Description of Service or Item(s)

C. $ Amount

D. Date

D. Description of Service of Item(s)

D. $ Amount

Donated Amount is Subtracted from TOTAL

Receipt Upload options.

Choose from a type below - an Image (JPG is best) or PDF file

Please pay close attention when scanning for type of file on your scanner. Be sure to review the document & if you can't read it, we can't either. This will delay you getting your reimbursement!

.JPG below

Upload an Image File

PDF below

Upload a PDF File

TOTAL

Expense approved by Committe chair or President.

* By checking this button, I agree that I am signing this document electronically & I agree that my electronic signature is the legal equivalent of my manual/handwritten signature.

Important !

Read Here before submitting this form!

Our website software is unable to email you a copy of this Expense Reimbursement form. Before submitting this form If you want a copy of your Expense Reimbursement Form you must print this page or do a screenshot from your own computer. If you are unable to make your own copy please contact the Treasurer.

Thanks for submitting!

American Sewing Guild

San Jose CA

This form is not approved by ASGSJ CAB and is not eligible for submission. It is in a Test only Phase. Please mark "turnips' for the payment preference if you are asked to test.

Expense Reimbursement Form

Expenses
(For Supplies, please select Supplies under Choose an Option)

.JPG below

PDF below

San Jose Chapter

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Contents Copyright San Jose Chapter American Sewing Guild 2021

This form is not approved by ASGSJ CAB and is not eligible for submission. It is in a Test only Phase. Please mark "turnips' for the payment preference if you are asked to test.

Expense Reimbursement Form

Expenses (For Supplies, please select Supplies under Choose an Option)

.JPG below

PDF below

Expenses
(For Supplies, please select Supplies under Choose an Option)