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E – Travel Reimbursement Form
ATLANTIC 10 WOMEN’S BASKETBALL CHAMPIONSHIP TRAVEL REIMBURSEMENT FORM
Institution:
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Date Submitted:
Submitted by Administrator (Name/Title):
Signature:
WOMEN’S BASKETBALL TRAVEL PARTY: Maximum 23
NOTE: Copies of air fare and charter bus receipts MUST be submitted with this form
TRAVEL
A. Air Travel (attach invoices) (travel must be over 350 miles one-way) persons @ $
TOTAL AIRFARE EXPENSE $
B. Charter Bus (attach actual invoice) TOTAL CHARTER BUS EXPENSE $
TOTAL MILEAGE EXPENSE $
TOTAL TRAVEL EXPENSE $ (LINE A)
PER DIEM
A. Calculate total per diem based on the following: - $125.00 for each travel party member (maximum 23) for each day of competition (LINE B) - $62.50 for each travel party member (maximum 23) for each day immediately preceding and immediately following competition (LINE C)
day(s) for persons @$125 per person day(s) for persons @$62.50 per person (LINE B) (LINE C)
