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Lewis & Clark Blazer Club PTO Reimbursement Request
Please complete the following Form to Request your reimbursement from the Lewis & Clark Blazer Club PTO
Name *
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Venmo Account
We try to reimburse electronically when possible! Haven't tried Venmo? Get the App!
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Description of Reimbursement Request and Associated Program
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Amount to Be Reimbursed *
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Phone Number (if we have questions)
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Email Address (if we have questions)
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Physical Address to Mail Check (if no Venmo)
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