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Supplemental Travel Request
Deadline: May 4, 2003
Please fill out this form and fax it or mail it to ITL.
Name:_______________________ Campus: __________________
Fax number: |
562-951-4982
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| Address: |
TSSI 2003
Institute for Teaching and Learning
CSU Office of the Chancellor
401 Golden Shore, 6th Floor
Long Beach, CA 90802-4210
Attn: Dawn Wheeler
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Number of nights in Long Beach:_____
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 |
$__________
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| (from_________________________to__________________________) |
| Total anticipated expenditures: |
$__________ |
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