Your name
Example: ###-###-####
Example: [email protected]. Your submission will be sent to this address.
Please include the original team funds for your team.
Please include the amount of funds you are requesting.
Day/Month/Year
Please provide details on each item, and how much you are requesting.
Check all that apply
Please include e-mails for direct e-transfer payments, or a description of who will will be submitting receipts.
Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.Maximum # Files: 1. Maximum File Size: 4MB.
Attach any receipts or invoices you may have.