| 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.
|
|
|
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