WEA Academy Voucher - Wisconsin Education Association Council

Date*
MM slash DD slash YYYY
Name*
Email*
This is a new email address
- Yes
- No
Address*
Street Address Address Line 2 City State ZIP Code
Event/Meeting Attended (if applicable)
Event/Meeting Start Date (if applicable)
MM slash DD slash YYYY
Event/Meeting End Date (if applicable)
MM slash DD slash YYYY
Travel From and To
Total ROUND-Trip Miles
[Sub-Account 5021]
Mileage Amt (@$.67)
[5021]
Lodging
[Sub-Account 5026]
Lodging Amount
[5026]
Meals
[Sub-Account 5027]
Meals Amount
[5027]
Parking
[Sub_Account 5021]
Parking Amount
[5021]
Other Expense (program development, instructor fees)
Other Amount
Expense Total
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