Club Funding Email Club Name E-Transfer Email Primary Contact Name Were all event(s) requesting reimbursement held in person? YesNo Event Date Event(s) Description(s) – only in person events Total Amount Spent on the Event(s)? Total Amount Requested? Breakdown of expenses Upload all Receipt(s) in one PDF file Do you have any special circumstances to explain regarding this funding request?YesNo If “Yes”, Please describe the special circumstances: Additional Comments or Information SubmitThe form has been submitted Successfully!There was an error trying to send your message. Please try again later.There was an error trying to send your message. Please try again later.