Assembly Reimbursement Form.xlsx

	A	C	E	F
1	Assembly Reimbursement Form
2				Q:
3	Month/Year of Assy
4
5	Make Payable to:
6
7	Expenses
8	Postage
9	Printing		Previous Seed/Draw
10	Venue Rental
11	Other Venue Expenses		Seed/Draw Requested
12	AV/Technology
13	Supplies
14	Chair/Tables/Stage Rental		Check Request Summary
15	Registration Expenses (including Paypal fees)		Total Requested (Exp. + Draw)	$ -
16	Ribbons/Lanyard		Total Requested (Exp. - Draw)	0
17	Speaker Expenses
18	Media Buys		Approvals
19	Registration for assembly (Chair/Alt)		Finance:
20	Lodging (Max $117 per night) (Chair/Alt)		Finance:
21	Miles @.35
22
23	Sub Total	$ -	Check #
24	Less Contributions		Date
25	Total	$ -
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