London Towne Elementary PTA

every child. one voice.®

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Purpose: A person should use this form if they are requesting 1) a check for a vendor or 2) a reimbursement for purchases that they have made on behalf of the PTA.


  1. Complete the form. Obtain signature approval from your PTA Officer liaison.
  2. For vendor payment, attach a copy of the vendor invoice or contract. For personal reimbursement attach your itemized receipt with relevant items circled (not highlighted). Items for different events must be put on separate forms.
  3. Place in the Treasurer’s mailbox in the school (must have all signatures).
  4. You should receive your check in about 1 week.

pdf Download (118 KB) , complete fillable form, sign & print. Attach scanned receipts and email to the treasurer.

If you prefer to land mail your information, follow the directions above but hand deliver to PTA mailbox in school or mail to:

London Towne Elementary PTA
Attn: PTA Treasurer
6100 Stone Road
Centreville, VA 20120