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Reimbursement form for Discrete Math Workshop
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* Indicates required question
Email
*
Your email
Your name
*
Your answer
Street address and apartment:
Your answer
City, state, zip:
Your answer
If you drove, what was the roundtrip mileage? (Enter 0 if you had no transportation costs.)
Your answer
Which city and state did you travel from to attend the workshop?
Your answer
Choose one for your reimbursement:
Check
Direct deposit (this requires another form that you should already have submitted)
Clear selection
Have you submitted both a W9 and the onboarding form?
*
Yes
No: we cannot reimburse you unless you have submitted these forms by the end of the workshop
Submit
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