Reimbursement / Check Request Form

 

Fill out this form, print and sign. Return it to:
The Ridgewood Education Foundation, 49 Cottage Place. Ridgewood, NJ 07450, marked "Attn: Linda Hannafey".

If you prefer, you can print this form and fill it out by hand.

 

Name:

Date:

   

Phone:

 

 

Vendor/Store

Expense Description

Amount

1)

2)

3)

4)

5)

6)

7)

8)

Total:  

 

Check Distribution:

Make Check Payable To:

Mail Check to the Following Address:

 

Other:

 

For Treasurer Use Only

Check #:

Prepared By:

Check Date:

Approved/ President:

Computer Entered:

Approved/ Vice President: