WSRT Reimbursement Voucher

Should you have to use your own money in doing the business of the WSRT you will be reimbursed IF you fill out this voucher and be sure to have all of your receipts. Money will not be reimbursed if there is no receipt.
Name
First Last
Purpose for expenditure
Date of expenses
MM slash DD slash YYYY
Amount
Receipt Upload
Max. file size: 300 MB.
How would you like your reimbursement?*
- Mailed Check
- Paypal deposit
Email (for paypal)
Address (for mailed checks only)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Privacy*
- By using this form you agree with the storage and handling of your data by this website. *