Preservation Advocacy Week Financial Assistance Reimbursement Request

Please submit this request and upload or email copies of receipt(s) for any Lobby Day expenses that will be covered in part or in whole by your scholarship. Eligible expenses include Lobby Day 2023 conference registration, airfare, and hotel.

"*" indicates required fields

Reimbursement Information

Please make check payable to:

Name:*

First Last

Address:*

Street Address City State ZIP Code

Contact Phone:*

Email:*

Reimbursable Travel Costs

Please include expenses that will be covered in part or in whole by your scholarship.

Event Registration:*

Airfare:*

Lodging:*

Total spent:*

Financial Assistance

Total financial assistance award granted:

Receipt(s)

Please upload copies of your receipts for Lobby Day expenses covered by your financial assistance award.

Drop files here or

Max. file size: 50 MB.

87869