Botany 2022 Field Trip Reimbursement Form

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Any graduate or undergraduate student that is a member of ASPT and/or BSA may apply to have their field trip fees reimbursed - up to $100.00. Only one reimbursement per person. Reimbursements will be issued as a refund on your registration credit card and will be issued AFTER the conference.

Last Name *

First Name *

Email Address *

Address 1 *

Address 2

City, State, Zip *

Cell Phone *

Which Society are you a member of: *

ASPT

BSA

Both

Conference Attendee Category *

Undergraduate

Graduate Student

Which Field Trip did you register for/attend? *

Field Trip Cost? *

Why are you interested in this field trip?

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