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
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Total Payment Due
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