Membership Expense Form
Byram Hills PreSchool Association
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Byram Hills Preschool Association

Reimbursement Form

 

 

 

Committee       ______________________________________________

 

Event               ______________________________________________

 

Remit Payment to:

                        Name               ___________________________________

                        Address            ___________________________________

                                                ___________________________________

                        Telephone       ___________________________________

                        Email:              ___________________________________

 

 

Please note:  Taxes are not refundable unless the store does not accept the BHPA tax identification number.  (All committee heads should have tax id forms available).

 

Description of Attached Receipts:                                                        Amount

 

______________________________________________                __________                  

______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  
______________________________________________                __________                  


Total Payment Due                                                                              __________

 

 

Please submit all receipts to:

 

Sheila Carnicelli

14 Bayberry Road

Armonk, NY  10504

Email: sheila.carnicelli@ubs.com

  

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