Women of Wisconsin, Inc.
Expense Reimbursement Request Form
(Created 2009)
1. FILL OUT THIS FORM COMPLETELY; Be specific. Use the back of this form if you need more space to list specific items. ATTACH RECEIPT(S) to this reimbursement form.
Forms should be received within 30 days of the date of expense.
2. SUBMIT THIS FORM WITH RECEIPTS to: WOW, Inc. c/o Pam Kehoe, W4779 Overlook Dr, Elkhorn, WI 53121
Your Name: ________________________________________Today’s Date: _____________________
Your Address: ______________________________________ Date of Event:____ _________________
City, State, and Zip +4: _______________________________ Type of Event: ____________________
If clarification is needed… Phone: _______________________ E-Mail:___________________________
EVENT/ACTIVITY for which purchase was made (date and location) | EXACT ITEM | AMOUNT |
WOW TRAININGS |
|
|
Specify Training Travel(specify air or car) Mileage $.445 per mile. |
|
|
MERCHANDISE (specify item and quantity) |
|
|
Shirts, etc… |
|
|
|
|
|
|
|
|
|
|
|
Postage/Shipping |
|
|
CELEBRATION EXPENSE |
|
|
Supplies |
|
|
Printing/Materials |
|
|
|
|
|
COMMUNITY AFFAIRS/E-CIRCLES (Please circle one): |
|
|
Copies, Supplies, Materials, Manuals |
|
|
Travel |
|
|
FUNDRAISING |
|
|
Postage/Printing |
|
|
ADMINISTRATIVE EXPENSES: |
|
|
Office Supplies, Misc. |
|
|
Postage, Delivery |
|
|
Printing |
|
|
Telephone Cards |
|
|
BOARD EXPENSES : |
|
|
Board Meeting Expenses: | | |
Travel (airfare, mileage) |
|
|
Meals |
|
|
Board Gifts, Other |
|
|
President’s Meeting Expenses: |
|
|
Travel |
|
|
OTHER (Please specify): |
|
|
Postage |
|
|
Printing |
|
|
|
|
|
TOTAL REIMBURSEMENT |
| |
FOR WOW BOARD PREAPPROVED EXPENSES