1) First Name: Last Name:

2) Social Security Number:

3) Department: Accounting Advertising Consumer Relations Sales Management Payroll Quality Control R & D

4) Describe the purpose of your trip.

Enter Description here (required)

5) Itemize your Travel expenses

6) Have you submitted your receipts?YES NO

Questions? Please direct your questions and comments to the wall, because I don't care.{read in a cheesy French accent} Now go! before I taunt you a second time.