Scholarship Reimbursement Please complete the following reimbursement form. Checks will be available for pick up at the conference registration desk. Please email [email protected] if you need your reimbursement sooner or have questions. Scholarship recipient name* First Last Your email address*In case we need to contact youMake check payable to*Your full name or institution name. Should be the same that appears on your receipt.Total amount to reimburse*Combine all qualified amounts as specified by your award letter.Upload PDF receipt(s)* Drop files here or Accepted file types: pdf, jpg, png. Receipt must have vendor name, amount, proof of payment and your name. If taking a photo please make sure it's well-lit and not blurry.CommentsThis field is for validation purposes and should be left unchanged.
