National American Miss Expense Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
State Pageant Location
*
Please Select
WA
NE
AZ
WI
I am a
*
Judge
Staff Member/Vendor
A. MILEAGE
Miles Driven (reimbursed at .55/mile)
Miles Driven Round Trip. I understand that only the driver of this vehicle is reimbursed for mileage expenses. Reimbursement is .45 cents per mile driven. Passengers do not receive payment for mileage.
Number
Mileage $ Total
B. PARKING
Daily Rate
Number of Days
Parking $ Total
C. LUGGAGE
LUGGAGE $ DUE
National American Miss reimburses 1-50lb bag coming & 1-50lb bag going.
D. FLIGHT
FLIGHT $ DUE
If you booked your flight yourself, please submit here for reimbursement.
E. OTHER
OTHER $ DUE
*Must be pre-approved by State Director.
GRAND TOTAL DUE
Grand Total $ Due
Please remit my expense payment via:
*
Please Select
Venmo
PayPal
Zelle
Company Check
My Venmo/PayPal/Zelle ID is:
Signature
*
Receipt Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: