Member Reimbursement Request Form

GIG HARBOR QUILTERS

Reimbursement Request Form

 

Name____________________________      Date______________________

 

Mailing Address_________________________________________________

Expense Amount________________________________________________

Expense  Description_____________________________________________

Event or Charity Purpose__________________________________________

 

Authorizing Officer_______________________________________________

 

 

 

 

Treasurer:  Janet Rosenburg

                    50 Raft Island Dr. NW

        Gig Harbor, WA 98335

        Mobile #  619-922-1976

                    Home #  253-313-0545

                    Email  chezjanet1559@comcast.net

 

Reimbursement Date _______________   Check #__________________________