200 CKI Reimbursement Request
CKI Reimbursement Request
First Name
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Last Name
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Email
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Phone
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Office
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Governor
Secretary
Treasurer
Bulletin Editor
LTG At Large: Recruitment
LTG At Large: Retention
President: NAU
President: GCU
President: UNM
President: OUAZ
President: ASU
President: UofA
President: ENMU
President: WNMU
K-Family Chair
Fundraising Chair
DCON Chair
Fall Rally Chair
Laws and Regulations Chair
DLSSP Chair
Service Chair
District Administrator
Assistant District Administrator
International Trustee(19-20)
International Trustee(20-21)
Other
Office
Request
Brief Description of Item
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Line Item
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Governor Travel Funds
Secretary Travel Funds
Treasurer Travel Funds
Bulletin Editor Travel Funds
President's Council
Lieutenant Governor: Recruitment
Lieutenant Governor: Retention
District Board Polos
District Board Badges
Website
CLE
Fall Rally
DLSSP
DCON
DOTC
GATC
ICON
District T-shirts
District Socks
District Stickers
Jusoor Pins
Silent Auction
Jusoor Donation
Key Club DCON
Kiwanis Mid Year
Other
Line Item
Date Funds Were Spent
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Amount
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Add a Reimbursement Line
Remove
Total Reimbursement Requested
Reimbursement By:
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VENMO
PAYPAL
CHECK
VENMO username
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PayPal username
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PayPal will take a fee from your reimbursement amount. The fee is your expense. Unfortunately CKI cannot reimburse the PayPal fee.
Accept PayPal Fee
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I accept the PayPal fee
I Do Not accept the PayPal fee
Because you have rejected the PayPal fee this reimbursement will not be submitted.
Make the Check to the Order of and Mail the Check to this Address
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Make the Check to the Order of and Mail the Check to this Address
first & last name
first & last name
address
address
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State/Province
Zip/Postal
Zip/Postal
File Upload
Drop receipts & supporting documents here. PDF only.
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Maximum upload size: 516MB
APPROVALS
Governor Joshua Burgett
Treasurer Cielo Barrios
District Administrator James Phelps
SWD Ex. Director kenneth garley
Upon submission you, Governor Joshua Burgett, Treasurer Cielo Barrios, District Administrator James Phelps and Ex. Director kenneth garley will receive a copy of this reimbursement request.
Please give everyone a few (3-5) days to submit their approvals or request additional information. If your reimbursement request is rejected you will be contacted by the person making the rejection with an explanation.
Upon everyone's approvals the Ex. Director will pay.
If you do not receive an email copy of this request or payment takes more than ten days please follow up.
Type your name to represent your signature "/s/typed name"
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