Before filling out this form, make sure you have clear photos of the receipts, as you’ll need to attach them to the form. When complete, click the “SUBMIT” button below. Once approved by the SFARC president, you’ll receive an email from the treasurer to confirm.

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Full name *

Phone number

Email address *

Confirm email address *

Call sign *

If no call sign, enter UNLICENSED

Mailing Address *

Reimbursement Method? *

ZelleCheck by Mail

Zelle ID

This is usually your email address or phone number. Please check with your financial institution to confirm.

Make check payable to the name entered on this form?

If you'd like to enter a different name, click NO.

YES NO

Make check payable to the name entered on this form?

Zelle Electronic Transfer (24-72 hours) Check By Mail (5+ Business Days By Mail)

Expenses

Date * Amount ($) * Description * Receipt Attach a photo or PDF of your receipt.

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+ Add expense

Total amount being submitted $0.00

By checking this box, I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. *

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