Test Form Page BSC Club Reimbursement Form Blackbeard Sailing Club, Ltd.Miscellaneous Club PurchasesPurchased By Member Number Address Please check one This is a request for reimbursement. Reimbursements are normally paid by bank check which you should receive within 2-3 weeks. If you require faster reimbursement, please check this box to receive a manual check. This is a record of a purchase made on a Club credit card. This is a record of a purchase that will be billed to the club. Please complete reverse of form to indicate which accounts should be charged. Ensure that the total below matches total on reverse.Vendor / Store Items Purchased Amount Total Please reverse and fill in amounts to appropriate categories.NotesBoard Member ApprovalSignaturePrint NameDate