Your Name (required) Your Email (required) Mailing Address City Province Postal Code Telephone Number Committee (required) —Please choose an option—BoardProfessional DevelopmentAssessment Event (required) NOTES: 1) If you have more than 6 expenses, please submit this form and then complete the form again until all expenses are submitted. 2) You may group receipts to be more efficient. Acceptable file types are pdf gif png jpg jpeg msg . Note total file size of all attachments must be less than 4 MB. 3) Studio rental invoice and AGM teaching invoice must include business number for applicable taxes (GST/HST/QST/PST). 4) All expenses must be submitted within one month of event. Date Type Amount Receipt/Invoice (4MB limit) Notes 1. —Please choose an option—flightaccommodationground transportationmileagemealsstudio rentalhonourariumAGM teachingother 2. —Please choose an option—flightaccommodationground transportationmileagemealsstudio rentalhonourariumAGM teachingother 3. —Please choose an option—flightaccommodationground transportationmileagemealsstudio rentalhonourariumAGM teachingother 4. —Please choose an option—flightaccommodationAGM teachingground transportationmileagemealsstudio rentalhonourariumother 5. —Please choose an option—flightaccommodationground transportationmileagemealsstudio rentalhonourariumAGM teachingother 6. —Please choose an option—flightaccommodationground transportationmileagemealsstudio rentalhonourariumAGM teachingother Upon submission the contents of this form and attached receipt(s)/invoice(s) is automatically emailed to you and to the Chair of the Committee, who upon approval will forward to the Treasurer for payment. Please retain your original receipts until payment is received.