Speaker Expenses Form

AvMA Conference and Events Department SPEAKERS EXPENSES

Speaker's Name
Title First Last
Conference Name
please select the name of the event you spoke at
I would like to be reimbursed by: (We no longer issue cheques)*
- Bank transfer
Bank details: (Please state your name that is held on the bank account)
Travel Expenses
Please enter the cost of expenses incurred.
Flights
Train ticket
Tube
Taxi
Car park charges
Car mileage
Price: £ 0.45
You will be reimbursed £0.45p per mile. Please enter mileage under quantity field.
Motorcycle mileage
Price: £ 0.24
You will be reimbursed £0.24p per mile. Please enter mileage under quantity field.
Total
£ 0.00
Receipts
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 GB.
Please upload copy of the receipts so your travel expenses claim can be processed.
*
- I certify that the expenses shown above were properly incurred by me in connection with my official duties for Action against Medical Accidents
Email
This field is for validation purposes and should be left unchanged.

Travel Expenses