Reimbursement Form | Portland Society For Calligraphy

To receive a reimbursement for purchases, fill out this online form, upload copies of your receipts and submit. Alternatively, you may print this form and staple the receipts to it, then mail to: Treasurer / P.O. Box 4621 / Portland, OR / 97208.

PSC Reimbursement Form

For use by committees and volunteers, to be reimbursed for approved costs.

Your Name

First Last

Phone Number

Program Activity or Event

Item(s) Purchased

Cost

Total Amount

Purchase Authorized by:

Make check out to (name):

Mail to (name):

First Last

Address

Street Address Address Line 2 City State ZIP Code

Notes

Attach Receipt Images Here

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 4 MB, Max. files: 8.