Reimbursements

Name *

First

Last

Phone *

Email *

Address

Only required for 1st submission.

Preferred Payment Info *

We can do a bank check, venmo, or paypal. Cash is not an option at this time.

What class is this "nonprofit" reimbursement for? *

Please submit a different reimbursement request for different classes.

When did you make this purchase? *

Total Request Amount *

Please highlight, circle, or otherwise make the total request amount super clear. If it’s only for certain items, please note that directly on the receipt/invoice.

How would you like to receive stipend funds? *

Directly
Via donation to an organization in your name
Other (Please explain)

If Directly: please submit a W9 & Invoice. If Donation: please list nonprofit organization & what name you would like us to use

Where did you make this purchase from?

How many receipts/papers will you be uploading for this request?

You’ll receive the upload link in your confirmation email after you submit this request.

What kind of services/products was this for? *

Meeting or Retreat Meals
Other (info below)
Gas/Uber
Parking/Tolls
Groceries
Office Supplies
Road Trip Travel Expenses (including road trip meals)
Survival Supplies (ex: tents, socks, sleeping bags)

This question is for our accounting purposes (again, IRS) & our own ability to be transparent with how we steward our resources. It doesn’t need to be exact & definitely shouldn’t be a source of stress. It’s on this form to limit the follow up communication needed for your reimbursement.

Other: Context you'd like to offer or feel it's important we know? *

*You MUST enter clear context here to receive reimbursement.

Name