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The Har Shalom office is closed for Winter Break from Dec. 21 to Jan. 3
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2024 Annual Fund
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2024 Annual Fund
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Reimbursement Request Form
Please verify reCaptcha before submitting the form.
Reimbursements will be processed within 10 days of submission.
Har Shalom is a tax exempt organization, sales tax for purchases made locally will not be reimbursed. If you have questions or need a tax exempt certificate, please contact
finance@nocoharshalom.org
.
*
Today's Date
*
Requested by
*
Email Address
*
Phone
*
What program, activity, or event is this expense for?
*
Amount to Reimburse
*
Expense approved by:
Notes
I will pick up a check
I will pick up a check
Please mail a check to my home
Please mail a check to my home
*
Please upload the receipt(s) below. Receipts are required for reimbursement.
Additional Notes:
Sat, December 21 2024 20 Kislev 5785
