2019-2020 PAGE Principal & Teacher Leadership Network - Reimbursement Form Use this form to submit expense reimbursement requests related to your participation with PAGE Principal & Teacher Leadership Network. Session Dates (Please do not request prior to session)*Select the session you wish to receive a reimbursement. September 9, 2019November 11, 2019January 13, 2020March 2, 2020Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code District*School / Location*Email* Enter Email Confirm Email Phone Number*Dinner Receipts (Enter total amount of all qualifying dinner receipts)Reimbursements will reflect uploaded receipts (maximum $25 per dinner which includes tax and 15% gratuity). PAGE does not pay for alcoholic beverages. Upload images of receipts (pdf, png, gif or jpg files accepted) Drop files here or Accepted file types: pdf, jpg, gif, png. Number of Miles Traveled (driver only)MileageMileage is automatically calculated at the national average rate of .58 per mile. COMMENTS: If you have a comment or question, enter it here.TOTAL REIMBURSEMENT