Ambassador Presentation Mileage Report
By the end of each quarter (March, June, September, December) please complete this form for all in-person Ambassador Presentations which you delivered in the previous quarter to receive mileage/travel reimbursement. No need for receipts. You will be reimbursed via direct deposit.

This form is in lieu of emailing us the details.

If you have not yet completed and returned a Direct Deposit Form, please contact us at ambassadorprogram@roadscholar.org.
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Your Email Address *
Your First Name *
Your Last Name *
Presentation Date *
MM
/
DD
/
YYYY
Presentation Location *
Total Miles Driven (roundtrip)
Total Toll or Parking Costs (if applicable)
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