Let’s get your money back. Fill out the form belowEnsure the receipt(s) are uploadedStep 3Step 4 Pick up from the school Name * Who is submitting this request? First Name Last Name Email * Phone (###) ### #### Are you a PTA Member * Yes No No - Volunteer Make check payable to * Who shall we make the check payable to? Expense 1 If just 1 expense, skip the next 2. Expense 1: Date * What was the date of this expense? MM DD YYYY Expense 1: Related Event * What was the event this expense was for? Packet Stuffing Back to School Luncheon Meet & Greet Kindergarten Cookie Party PTA Board Meeting PTA General Meeting Campus Beautification Donuts with Dad Open House Hearing and Vision Screening Flag Raising Membership Drive Fundraiser Muffins with Mom Staff Lunches Expense 1: $ Amount of Item * What was the amount of this item? $ Expense 1: Additional Info * Is there anything else you'd like to share about this expense? Expense 2 Expense 2: Date What was the date of this expense? MM DD YYYY Expense 2: Related Event What was the event this expense was for? Packet Stuffing Back to School Luncheon Meet & Greet Kindergarten Cookie Party PTA Board Meeting PTA General Meeting Campus Beautification Donuts with Dad Open House Hearing and Vision Screening Flag Raising Membership Drive Fundraiser Muffins with Mom Staff Lunches Expense 2: $ Amount of Item What was the amount of this item? $ Expense 2: Additional Info Is there anything else you'd like to share about this expense? Expense 3 Expense 3: Date What was the date of this expense? MM DD YYYY Expense 3: Related Event What was the event this expense was for? Packet Stuffing Back to School Luncheon Meet & Greet Kindergarten Cookie Party PTA Board Meeting PTA General Meeting Campus Beautification Donuts with Dad Open House Hearing and Vision Screening Flag Raising Membership Drive Fundraiser Muffins with Mom Staff Lunches Expense 3: $ Amount of Item What was the amount of this item? $ Expense 3: Additional Info Is there anything else you'd like to share about this expense? Anything else you'd like to share? --> REMEMBER: You'll pick up the check from the school. <-- Thank you!