Sigma Zeta Reimbursement Form

Sigma Zeta membership fees help to support attendance by local chapters at the annual National Convention along with other society expenses. Each chapter that attends the National Convention can apply for a travel subsidy of up to $0.40 per mile (or actual travel costs incurred, whichever is less). Please complete the following form to request your travel subsidy reimbursement. The check will be written to the Chapter during the National Convention. National Officers, please email receipts for other expenses to treasurer.

2019 Mileage Reimbursement Table - Malone University

Chapter *

School Name *

Name of Requestor *

Contact Phone Number *

Contact Email Address *

Mailing Address *

Please fill in your complete mailing address.

Roundtrip Mileage *

Mileage Reimbursement Requested * $

Other Expenses

Used mainly for expenses incurred by Sigma Zeta National Officers, including lodging at national meetings and expenses incurred to attend an annual national officers meeting. Please describe and list costs. Receipts must also be submitted for other expenses.

Total Reimbursement Request * $

Make Check Payable to *

Please attach invoice or receipt(s) (Not required for Convention Travel for 3 or more participants)

Officers Expense - Please attach invoices or receipts; Mileage subsidy for travel to the National Convention - Please attach receipts for travel expenses if fewer than 3 chapter members/faculty will be attending the convention. (Word, PDF, Image files only)

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Sigma Zeta Reimbursement Form