INSTRUCTIONS

Complete all the required fields . The information provided will be emailed to the Treasurer who will then approve and cut a check.

Please scan or photograph the sales receipt(s) and send to treasurer@expressions-studio.org

Name of Requestor

First Name

Last Name

Email of Requestor

Phone Number of Requestor

(###)

###

####

Make check payable to

Mail Check to this address

What is the nature of the purchase?

Explain what was purchased and what it was used for.

Amount to be Reimbursed

The sum of all sales receipts

Message

Provide any other notes or information to help complete this payment