2020-2021 PAGE Transformational Principal Institute Use this form to submit expense reimbursement requests related to your participation with PAGE Transformational Principal Institute. Session Dates (Please do not request prior to session)*Select the session you wish to receive a reimbursement. November 19, 2020 Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code District* School / Location* Email* Enter Email Confirm Email Phone Number*Hotel Receipt (Reimbursement up to $150.00)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 Select files Accepted file types: pdf, jpg, gif, png, Max. file size: 50 MB. 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