2024-25 Mason PTA Reimbursement and Check Request Form Please attach all receipts to this request form.
Your Name | ||||
Email Address | ||||
Type of Request | Reimbursement Check Request (check one) | |||
Due Date (Check Requests ONLY) | ||||
PTA Area and Activity | Fundraising □ Culver’s Night □ Family Fun Night □ Skate Night □ Penny Wars □ Membership Sales □ Spirit Wear □ Book Fair □ Yearbooks Special Events □ Main Fundraiser Food Sales □ Winter Holiday Event | Programming □ Boo-Hoo/Yahoo Breakfast □ Popsicles on the Playground □ Math & Logic Competition Awards □ Cultural Arts □ Ecology Club □ Haunt the Halls □ Holiday Open House □ Art Night □ Valentine’s Day □ Reflections □ VIP Day | Hospitality □ Field Day Inflatables □ Field Day Food/Drinks □ VIP Day □ Kindergarten EOY Picnic □ Fifth Grade Graduation □ Staff Appreciation Week □ Staff Birthdays □ Staff Luncheons □ State Life Membership/ Distinguished Service Award School Support Student Resource Teacher/Staff Room Money | Field Trips Kindergarten/Faulkner's Ranch First Grade/Wonderscope Second Grade/Science City Third Grade/MO Day Fourth Grade/BSSE Fifth Grade/Literature Festival Operations □ Correspondence □ Paper & Copies Services □ Website/Technology □ President’s Fund □ Treasurer's Fund □ Surety Bond Other □ Other: □ Retirement Gift |
Description of Expense(s) | ||||
Amount | ||||
Payee | ||||
Full Address | ||||
Contact Name and Phone Number (if applicable) | ||||
Check Delivery Method | U.S. Mail School Office Mailbox Other:______________ | |||
Additional Notes or Comments |
| |||
Approved By | Signature required by PTA Exec Board Member: | |||