Inglewood H&S Reimbursement and Check Request Form
- You must submit a receipt/invoice in order to be reimbursed
- When a purchase is made, please fill out this form below and send scans or pictures of the receipts/invoices to the H&S treasurer via email to Jason Arndt at JPArndt26@gmail.com or text a picture to 215-266-7722
- Please allow one week for processing
- If you have any questions please contact Jason Arndt at JPArndt26@gmail.com
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Payee (Person or Company Receiving check) *
Amount *
Address (Where will the check be sent, be sure to include town and zip code OR I can drop off at school) *
Date Need by *
MM
/
DD
/
YYYY
Committee/Event *
Short Description of Expense *
Requestor's Name *
Requestor's Email and/or other contact information *
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