Date: Name of Person Requesting Reimbursement: Phone Number: Mailing Address for Check: Email Address: Lunar Event Name: Vendor Name: Description of Items to be Reimbursed For: Amount Requested (We Do Not Reimburse for Tax): Attach receipt(s) here: In-Kind Donation amount: *Check will be sent after approval from Event Chair, General Chair & Advisory Board Chair or Liaison* *All Reimbursement Requests Must Be Submitted and Approved by August 15th*