AVI Speaker Reimbursement Form
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AVI Speaker Expense Reimbursement Form
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Make a copy of this sheet before starting edits.
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Expense Period
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Member Name:From:
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To:
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Business Purpose:
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Reimbursement method:
--Select one--
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Mailing address (if check)
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Itemized Expenses (travel, lodging, and approved office supplies only)
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DATEDESCRIPTIONCATEGORYCOST
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TOTAL REIMBURSEMENT
$0.00
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Add receipt images to the Receipts sheet.
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Member Signature (e-signature ok)Date
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Approval SignatureDate
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