AACT Workshop Reimbursement/Funding Request

American Association of Community Theatre

Reimbursement Request & In-kind Report

AACT operates on a fiscal year ending August 31.

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Make check payable to *

Mailing Address *

City *

State *

Zip *

I can be contacted at: Email *

Phone

I am requesting reimbursement for expenses as *

Festival Commissioner

Region Rep

Other

Travel to city *

State *

Festival/Event/Activity *

Dates From *

Month

Day

Year

To *

Month

Day

Year

Attach Receipts at bottom of form, if reimbursement is requested. Enter "0" if you had no expenses for a category.

Airline * $

Car Rental * $

Hotel * $

Shuttle/Tolls/Pkg * $

I Drove *

miles* x.30 = $

Other Expenses incurred * $

Do not include food.

List Other Expenses included in line above

Total Travel Expenses

If total is not calculating, be sure each expense item above has a number entered. If not applicable, enter 0.

Please Reimburse Me* * $

Your In-Kind Contribution $

Thank you for your contribution!

Festival/Event Provided

Comp Registration

Hotel

Other

Describe Other

Receipt Upload

Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc.

Print name to serve as signature *

Leave this field blank

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AACT Workshop Reimbursement/Funding Request

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