Student Matinee Transportation Subsidy

2012-2013 Student Matinee Transportation Subsidy Reimbursement Request Form To receive transportation reimbursement for attendance to a Childrens Theatre Company 2012-2013 Student Matinee you must have applied for and received a 2012-2013 Transportation Subsidy. (Approved applications will have received a confirmation via e-mail.) To request reimbursement following your performance please: 1. Complete the following reimbursement request form. Include the information exactly as it appears on your Student Matinee reservation contract to ensure accurate processing. 2. Submit proof of payment to the bus company for the field trip to Childrens Theatre Company. 3. All Transportation Subsidy reimbursement requests must be received by June 21, 2013. Reimbursement will be made within 30 days of receiving all required materials. 4. Mail Completed Reimbursement Request Form and additional materials to: Childrens Theatre Company Attention: School Group Sales 2400 3rd Ave South Minneapolis, MN 55404 or Fax Completed Forms To: 612.872.5170
*Required field

*School Name: *Contact Name: *Account Number: *Contact E-mail: *Make reimbursement check out to: *Address to send reimbursement check to: Address line 2: *City: *Play Title and Date Attended: *Number of Buses used for this field trip: *Cost per bus: *Final Transportation Cost for this field trip: Yes Yes No No If No, sent via If No, sent via Mail Mail Fax Fax E-mail E-mail *State: *Zip: *Order Number: *Contact Phone:

*Proof of payment to bus company attached? *Evaluation form completed and attached?

Questions call School Group Sales at 612.872.5166 or email schoolgroupsales@childrenstheatre.org.