178th Undergraduate Delegate Travel Submission Form

Delegate travel is eligible for reimbursement if booked within the terms of the Travel Reimbursement Policy
http://thetadeltachi.co/travel

Delegates will be reimbursed based on the mileage driven or the cost of bus, train, or airfare.

Transportation to and from the IND Airport will be provided for undergraduate delegates.

Attendance at all events is required for reimbursement.

Please submit your travel and reimbursement information below.

Name *
Charge *
How are you traveling to the 178th Convention? *



Flights

If your flight is not direct and has a connection. Please provide only the information for the legs in and out of IND.

Arrival Airline
Arrival Flight Number
Arrival Time
(hh:mm AM/PM)
Departure Airline
Departure Fight Number
Departure Time
(hh:mm AM/PM)
Please list your flight cost below.
Check bags and other upgrades are not reimbursed.
Driving

Please provide the information below to be reimbursed for your drive to and from Convention.

If you are driving please include your starting address below.
If your return address is different please include as well.
My total roundtrip mileage is:
Please list the sum of your roundtrip mileage below.
Receipts/Proof of Travel

Flight, Bus, and Train Receipts must be uploaded here. If driving, provide a Google Maps screenshot.

Travel Receipts *
Flight, Bus, and Train Receipts must be uploaded here. If driving provide a google maps screenshot.
Upload
Acknowledgements
I have read and understand the travel reimbursement policy. *
http://thetadeltachi.co/travel

Check Information

Please complete the following in full; the information submitted below will be used for reimbursement checks.

If your Charge has booked travel, you can have the check sent to the Treasurer.

Payee *
Name on the check
Mail To *
Name for mailing address
Mailing address *