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In-State Travel Request

Name
Department
Current Date
Event
Date(s) of Event
Location (city/state)
Your e-mail address
I am seeking time off from work and/or funding to attend the event noted above.
Account Number (if known)


It is in the interest of Information Resources that I attend because:
Projected cost (accuracy is essential!)
Transportation Cost
$
$
 Misc. costs (parking, tolls) $
Registration

 Registration Fee

      Early Bird Rate
              Early Bird Cutoff Date:

$
       Conference/Event URL
        Indicate if meals are included w/fee.

               Indicate which meals on which dates

 Lodging

      Check if this is Actual Conference Reserved Lodging

 $
 Meals (applicable only if overnight stay included) $
Grand Total $

I have discussed this request with my Unit Manager:

Unit Manager Name   

      

 

Please forward any descriptive literature and registration forms you may have regarding your trip to Erin Manuel.


Last modified: Sep 01, 2011