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Expense Reimbursement Request
Submit this form when you have a receipt and request for reimbursement.
YOU MUST SEND YOUR RECEIPT TO
COUNTRYCROSSING121@GMAIL.COM
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* Indicates required question
Email
*
Your email
Date of Transaction
*
MM
/
DD
/
YYYY
Amount
*
Your answer
Purpose
*
Your answer
Did you email your receipt to CountryCrossing121@Gmail.com
*
Yes
No
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