PTC Reimbursement Form 2021-22

Required

Complete the form below if you have made a purchase with your own money and would like a reimbursement from the PTC. After submitting the form, you will receive an email confirmation of your request.

A receipt is required for reimbursement. You can either upload it at the bottom of this form or print your confirmation email, staple your receipts to it, and submit to the PTC Treasurer via the PTC mailbox at the reception desk with Kim Houston.

Namerequired

First Name

Last Name

Address:required

Address 2:

City:required

State:required

Zip:required

Email:required

Please select the PTC Committee or Activity for this expense:

Please list items purchased and a short description:required

Date of Purchase:required

Must contain a date in M/D/YYYY format

Amount to be reimbursed:required

Upload your receipt or image of your receipt below. Receipts are required for reimbursement. If you are unable to upload it to this form, please email it separately to accountspayable@bernardzell.org or submit in person to Ms. Houston or at Barr House.required

Attach up to 5 files at a time. File size may not exceed 20MB

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PTC Executive Board 2021-22

President:
Merritt DeWitt
President Elect:
Ericka Thacker
Ex-Officio:
Elana Tennenbaum
Retail/Fundraising Strategist:
Tamar Jacoby
Chair of Community Engagement:
Deena Goldstein
Marketing & Communications Officer:
Karen Raviv
Secretary:
Leslie Alter
Treasurer:
Katie Schaffer
Pilot Advisory Role:
Allyson Becker