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 BistroMassawaPisticciTartina314 (Pizza, Pasta & Cocktail Bar)
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.

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.

For Seminars and Other Special Events

Eligible seminar attendees include the chair(s), rapporteur, guest speaker, and respondents. If you have gift funds, you may also include other attendees you wish to cover using those funds.

Eligible Attendees (for seminars)*

If you wish to include student attendees or have more than 12 eligible attendees, please contact Gesenia Alvarez (ga2030@columbia.edu) for approval before submitting your request.

Seminar Restaurant Meal Allowances
- Lunch - $35/pp
- Dinner = $50/pp
This form will automatically multiply the number of eligible attendees times the per person Meal Type amount.
1. Total Number of Eligible Attendees*
Meal Type*
2. Times Per Person Dinner Allowance ($)
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.

For Conferences
Total Approved Conference Attendees*
Approved attendees' meal expenses to be covered with awarded conference funds.

Eligible Attendees (required for 10 or less attendees)

Conference Restaurant Meal Allowances
- Breakfast - $25/pp
- Lunch - $35/pp
- Dinner = $75/pp
This form will automatically multiply the number of approved attendees times the per person Meal Type amount.
Conference Meal Type*
1. Per Person Breakfast Allowance ($)
2. Per Person Lunch Allowance ($)
3. Per Person Dinner Allowance ($)
4. Total Conference Credit Note Amount ($)
This calculated amount will appear in the credit note.

Signature
Once this form is submitted, the University Seminars office will review the submission for 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 Gary Mayta (gm2965@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.

Any technical questions regarding this process or this form, please contact Gesenia Alvarez (ga2030@columbia.edu).
Please verify that you are human*
Should be Empty:

For Seminars and Other Special Events