DO NOT USE THIS FORM - Submit your receipts for reimbursement by the community fund

THIS PAGE IS NO LONGER IN USE. TO SUBMIT A RECEIPT, GO HERE: https://docs.google.com/forms/d/e/1FAIpQLScEIjoPFcZQJQ2lqx3QYIHsD6j2x5R3dJaA0fPh6lBdnxjGjA/viewform

Your Name:
Store Name:
Other Store Name:
Amount (in dollars):
Date of purchase (m/d/y):

Purpose (What did most of the $ spent on this receipt get spent for?):

Other purpose:
Optional Notes:


Please put a paper copy of your receipt in the mailbox called "Community Fund Receipts".
 

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