AMS Payment Request Form

AMS Payment Request Form

Please use this form to request a reimbursement or a payment for an award, prize, fellowship, grant, honoraria, or subvention from the American Musicological Society (AMS).
Are you submitting a request for yourself or for someone else?*

MyselfSomeone else
Submitter Information
Submitter First Name*
Submitter Last Name*
Submitter Email*
example@example.com
Submitter Institution
Payee Information
First Name*
Last Name*
Email*
example@example.com
Institution
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Payment Type*

PaymentReimbursement
Amount (in US $)*
Program Type*

Award / PrizeFellowshipPublication SubventionResearch / Travel GrantProfessional Development GrantOther
Program Name*
Please provide the name of the AMS program, grant or award from which you are due payment.
Payment Method*

Check (US mail)PaypalWire Transfer (non-US payees only, $25 fee)
Please provide the email address associated with your PayPal account.*
example@example.com

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Receipt(s) / Invoice(s) / Other Documentation
If you are an individual requesting payment of a grant, fellowship, honoraria or award you must submit a completed and signed IRS W-9 form (U.S. citizens/residents) or W-8BEN (non-U.S. citizens/residents). (Note: If you are requesting a direct payment it is essential that you provide a W-9 or W-8BEN. The AMS cannot provide payment without requested documentation.)
Receipt(s) / Invoice(s) Upload

Cancelof
W-9 or W-8BEN Upload

Cancelof
Payment Method

Check (US mail)PaypalWire Transfer (non-US payees only, $25 fee)
Please upload your W-9 or W-8BEN below.

Please provide your completed W-9 (US citizens or residents) or W-8BEN (non-US).
Cancelof
Comments
Please verify that you are human*
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Submitter Information