Restaurant Credit Note Request Form

Restaurant Credit Note Request Form
Organizer Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Select Restaurant of Choice*

Chama mamaFumoLe MondeMarlow BistroMassawaPisticciTartina
Seminar*
Event Type*
Add notes about this meal (optional)
Event Date*

MonthDayYear
Date
Arrival Time*

Hour Minutes

AM/PM Option
Reminder: Reservations must be made with the restaurant directly. The Credit Note is only for eligible meals and will include a total dollar amount to be discounted from the total restaurant bill.

11/1/24: Update on Symposium Restaurant - Promissory notes are no longer accepted at this restaurant. You will need to pay the restaurant directly and submit for reimbursement.

List of Eligible Attendees*

1. Total Number of Eligible Attendees*
Meal Type*
2. Times Per Person Dinner Allowance ($)
2. Times Per Person Lunch Allowance ($)
3. Total Dinner Credit Amount ($)
This amount will appear on the credit note
3. Total Lunch Credit Amount ($)
This amount will appear on the credit note
Number of (non-eligible) Guest Attendees*
Do not include Chair(s), Rapporteur(s), Guest Speaker(s), and Respondent(s). Type "0" if none.
Total Number of Attendees
Reservations for the total number of attendees must be made and confirmed by the rapporteur.
Signature

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Once this form is submitted, the Associate Director for Financial Operations will review submission for approval. Upon approval, Requestor should expect a Credit Note via email within two business days. If you require a Credit Note sooner, you will need to contact Gesenia Alvarez-Lazauskas at ga2030@columbia.edu or Giran Ceballos at grc2136@columbia.edu to expedite this process. Please note, we cannot guarantee expedited approvals. We recommend that you plan ahead to avoid delays.
Please verify that you are human*
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