2017-18 DAIS PTO Disbursement Requests
Please complete this form when requesting monetary reimbursement from the DAIS PTO.  A copy of the receipt must be provided to the PTO for reimbursement.  You may provide a copy of the receipt to your community office (attn: DAIS PTO) or email the receipt to daispto@dallastown.net.  

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Name of person requesting reimbursement *
Email address *
Amount being requested for reimbursement *
Reason for reimbursement *
Student Information (Name, Team, Homeroom) *
How would you like your reimbursement: *
Mailing address for reimbursement
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