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2019-20 Shabbat "Host at Home" Reimbursement Form
Contact Information
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First Name
Last Name
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(mm/dd/yyyy)
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check all that apply
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check all that apply
Attendance List

Please fill out the following form and list the people who attended your meal: Attendance List

OR upload an excel spreadsheet (no pdfs) with the first and last name & uniqname of every guest. 

You will not be reimbursed until we have this information correctly. 

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INCLUDING: first/last name & uniqname for each guest
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Reimbursement Information/Uploads
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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REMINDER: 10/person up to 15 people for a total of $150.
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Please upload photo of your itemized receipts. *Hillel reimburses up to $10 a person for your meal up to 15 people total. We do not reimburse for alcohol.