Example: ###-###-####
Note: will be used for e-transfer reimbursement
Division and Category
Check All That Apply
Please enter in the total amount paid. The GGHA will reimburse you based on posted policy percentages.
Once approved, please allow one week for reimbursement.
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.Maximum # Files: 10. Maximum File Size: 4MB.