ISPO Reimbursement Form

Dear ISPO member,

Please make sure you read the ISPO Reimbursement Policy before submitting the form below.

In case of any questions, please contact headoffice@ispoint.org

Thank you,

Your ISPO Head Office Team

PERSONAL INFORMATION
Name

First NameLast Name
Email
example@example.com
You request reimbursement as:
Please specify
Please specify which Committee

Total requested reimbursement amount
Purpose of the travel
Please specify
Date: from blanks till blank.
Event details
In which currency you want to be reimbursed?

EURUSD

Expenses (check the exchange rate here: https://www.oanda.com/currency-converter/en/)

	Expenses Description	Expenses Currency	Expenses Amount	Exchange rate to EUR/USD	Reimbursement amount in EUR/USD (make sure to use the dot as separator 1.23)
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
Item 9
Item 10

Total
If traveling by car, please specify the number of km
Arrival city blanks Departure city blank .
Total for traveling by car
Total to be reimbursed
Please upload your receipts for the expenses mentioned above

Cancelof
Budget code
This is to be filled by the Head Office

Bank details
Account holder name

First NameLast Name
Account holder address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bank name
Bank address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Account number
IBAN
SWIFT/BIC
CLABE number (for US accounts)
Should be Empty: