GBA Reimbursement Request
Student Organization Name (For Student Organizations Only)
Your answer
Contact Person Name *
Your answer
Contact Person Email *
Your answer
Contact Person Phone *
Your answer
Date of Expense(s) *
MM
/
DD
/
YYYY
Bank Account Name (Student org name as it should appear on the reimbursement check) *
Your answer
Reimbursement Amount - must provide receipt below
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What was the money used for? *
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Was this a cosponsored event? (For Student Organizations Only)
Reimbursement Amount - Upload Receipt Here - WITHOUT THIS WE WILL NOT REIMBURSE: https://script.google.com/macros/s/AKfycbxb7KxqkDv3C1wCm4ayMzB_5Sdj0C9PeIIeVmY-nYUTjP7SvIg/exec *
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