RMHS Booster Reimbursement Request
This form should be used to submit a request for monetary reimbursement for goods or services purchased for the benefit of the Rocky Mountain Instrumental Music Boosters, Inc non-profit organization. Enter the details below. If requesting reimbursement for multiple transactions, please submit a separate request for each.

Important: reimbursement cannot be fulfilled until the corresponding receipts have been given to the current Treasurer. These can be emailed as attachments (jpeg, gif, pdf, etc) to treasurer@rmhsmusic.org

Date of Purchase *
This should match the date on the receipt.
MM
/
DD
/
YYYY
Name of Recipient *
Your name or the name of the person who will receive the reimbursement.
Your answer
Name of Merchant / Retailer *
Your answer
Description of charges *
Please briefly describe the item(s) and reason for purchase.
Your answer
Amount to Reimburse *
Enter dollar amount to reimburse
Your answer
Reimbursement Method *
Submit
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