Atkinson Elementary PTA Check Reimbursement Request Form
Reimbursement checks related to an approved PTA activity will be issued and distributed within three weeks of receipt. Please email scanned copies of receipts to treasurer@atkinsonpta.org.
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Email *
Requested by:
1. Payee information (who the check should be made out to if different from above). Name:
Date:
MM
/
DD
/
YYYY
Phone#:
Email:
2. Delivery Options: *
Street address, if check is to be mailed:
3. Amount: (email scanned copies of invoices/receipts) *
PTA Program Activity/Event: *
Expenditure description:   *
A copy of your responses will be emailed to the address you provided.
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