Mileage Reimbursement Form
Mileage will be paid at $0.655 per mile and is valid only for TVQA Teachers and Judges for TVQA- and TVQA-guilld related events.
Status
Please Select
Submitted
Check Mailed
TVQA Teacher or Judge Name
*
First Name
Last Name
Email
*
example@example.com
Address for Reimbursement Check
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guild Name for services
*
Please Select
Athens Dixie Stichers
Country Quilters
Friendship Quilters
Happy Hands Quilt Guild
Hearth & Home Quilters Guild
Iris Quilters
Lincoln County Piecemakers
Material GIrls Quilters
Member At Large
Music City Quilters
Peace by Piece Quilters
Quilting Bees
Sewcial Quilters
Star Stitchers
Date of Activity
*
-
Month
-
Day
Year
Date
Purpose
*
Lecture
Class
Judging
Roundtrip Mileage
*
Amount Due from TVQA - $
By clicking submit, you confirm that you are a listed TVQA Teacher or Judge.
Submit
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