ACM LECTURESHIP SERIES

LECTURER TRAVEL EXPENSE REPORT (rev. 10/99)
 
FOR USE BY:  ACM Lecturers
 
SUMMARY: To receive reimbursement for Lectureship-related 
expenses.

The following three items are required for reimbursement:
 
(1) Original travel receipts for all expenses over $25 (attach).
(2) Completed chapter evaluation forms (attach).
(3) Completed Travel Expense Report (this form).

In order to expedite processing, it is helpful if you request 
that host chapter program chair(s) send in the completed Lecturer 
Evaluation forms ASAP.
 
1. LECTURER INFORMATION

a. Lecturer Name
b. Mailing address to which reimbursement check should be sent 
(if other than the address listed in program guide):

2. LECTURE INFORMATION (include a. chapter name, b. date of 
lecture and c. chapter contact name and either e-mail or mailing 
address for each lecture given)

a. lecture 1:
b. lecture 2:
c. lecture 3:
d. lecture 4:

3. EXPENSE SUMMARY (attach receipts for expenses which exceed 
$25)

a. Transportation
- airfare (attach receipts)
- auto rental (attach receipts)
- personal auto (check lectureship@acm.org for current rates)
b. Lodging
c. Meals
d. Other expenses (itemize)
E. TOTAL

NOTE: Only reimbursement requests for AUTHORIZED travel on behalf 
of the ACM Lectureship Series will be considered for 
reimbursement.  It is expected that local expenses (particularly 
lodging and meals) will be covered by the chapter(s).  Exceptions 
will be handled on a case-by-case basis and require advance 
approval. 


I certify that these expenses relate to authorized travel on 
behalf of the ACM Lectureship Series and that reimbursement for 
the expenses listed above will not be claimed or received from 
any other source.

Signature of ACM Lecturer:

Date: 


Submit originals of items (1)-(3) to:

     ACM Lectureship Series
     Association for Computing Machinery
     1515 Broadway
     New York, NY 10036
     
NOTE: Faxes, Email transmissions and photocopies will not suffice 
for travel reimbursement!  For further information only, contact 
ACM HQ at lectureship@acm.org or (1)-212-869-7440.