The Clan Macleod Pipe Band of Sydney
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Application for reimbursement
Complete this form to apply for reimbursement of tuition/workshop fees. You should complete this form at least 3 months before the event.
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Indicates required field
Position (piper, drummer, etc):
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Today's Date (dd/mm/yy):
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Name (first, last)
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First
Last
Email
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Activity start date (dd/mm/yy):
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Enter the start and end dates. If it's only for one day, you can simply type the date for that particular day.
Total amount of activity:
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Location of activity:
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Please type where this will be held including the name of the venue.
Phone Number
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Activity finish date (dd/mm/yy):
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Please enter the amount in dollars and cents of the whole course/event. This may or may not be the same as the amount you are requesting to be reimbursed.
Reimbursement amount Requested:
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Please enter ONLY the amount you wish to be reimbursed for.
Details of the activity:
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Anticipated benefit/learning:
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Please type details of what you stand to benefit/learn from participation.
Tick the box below to submit your request.
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I agree to be bound by any agreement. Resulting from this application and that all funds will be paid by me upfront. Any agreed reimbursement will be payable after the activity has been completed and a written report presented to the band outlining the benefits and learnings received.
You must tick this box to submit your request. If you do not wish to agree, please contact the band manager directly.
Submit
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