Robodores Reimbursement Form

Occasionally it is necessary for parents, students, and/or mentors to make purchases on behalf of Team 4255. Upon receipt of this form, Robodores commits to covering the expenses accumulated from these purchases.

Upon complement of this form, please email reimbursement@team4255.org with a copy of your invoice/receipt for your purchase(s).

Name

As should appear on the check

First Name

Last Name

Email

Item(s)

Requested Amount

$

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Robodores Reimbursement Form

Your form has been processed. Thank you!

Team 4255
Robodores

Email us at: contact@team4255.org

101 Herrman Dr.
Monterey, CA 93940

Robodores Reimbursement Form

Your form has been processed. Thank you!

Team 4255Robodores

Email us at: contact@team4255.org101 Herrman Dr.Monterey, CA 93940

Team 4255
Robodores

Email us at: contact@team4255.org

101 Herrman Dr.
Monterey, CA 93940