|
Supplemental Travel Request
Please fill out this form and fax/mail it with your registration
payment.
| Fax number: |
562-951-4982
|
| Address: |
TSSI 2002
Institute for Teaching and Learning
c/o Dawn Wheeler
401 Golden Shore, 6th Floor
Long Beach, CA 90802-4210 |
Number of nights in San Francisco:_____
If your transportation costs will exceed $200, please provide details
of your expected expenditures for transportation. ITL will not
reimburse for meals en route, incidentals, registration fees, and
other travel expenses.
| Airfare (reimbursement will be based on lowest
fares): |
$__________ |
| Airport parking: |
$__________ |
| Mileage: miles @ 0.345/mile |
$__________
|
| (from_________________________to__________________________) |
| Total expected expenditures: |
$__________ |
|
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