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2. Event Name*
3. Payee Name*
5. Payee Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. Please Describe Event: (i.e.: date, location, what was offered, thoughts on success)*
16. Estimated Attendance*
17. Event Photos
19. Total Reimbursement Request*

    Receipts and invoices for expenses must be attached for reimbursement to be processed. Event organizers are responsible for distributing reimbursements to vendors.

21. Itemized List of All Event Expenses*
    -- Select One --Upload Itemized List of ExpensesInput Itemized List of Expenses

    Please upload an itemized list of all event expenses or input the list of all event expenses.

23. Upload Itemized List of All Event Expenses*
25. Input Itemized List of All Event Expenses*
27. Receipts/Invoices

    Please upload copies of receipts/invoices. Files can be combined or uploaded separately. If necessary, email itemized list of expenses and receipts/invoices to Ramona McGary at rmcgary@saratoga.ca.us 

29. Receipt/Invoice File Upload 1*
30. Receipt/Invoice File Upload 2
32. Receipt/Invoice File Upload 3
33. Receipt/Invoice File Upload 4
35. Receipt/Invoice File Upload 5
36. Receipt/Invoice File Upload 6
38. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
40. Electronic Signature
41. Date
    Date
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field