GLRR Expense Reimbursement Request Form

This is “official” GLRR expense reimbursement request form.

Please use this form when requesting reimbursement from the club.

If you are computer adverse – try this…  click here, to view a printable version.  Print it, fill-in the needed info and mail the form, with copies of your receipts to:

GLRR Treasurer
PO Box 1314
Lowell, MA 01852

* indicates required field

Enter your mailing address:

Enter the amount, description and date of each expense. Indicate if a copy of the receipt is attached (there is provision to attach at the bottom).

Note: if missing receipts - the treasurer may require additional information before processing your request.

You can detail up to five items on this form. If more than 5 items - use additional form(s).

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.