BMVA Expenses claim form 

Name:		
Address to which cheque should be sent:	

	
Destination:		
Dates (from/to):		
Purpose:

		

*Payment currency if not GBP:	Rate used for any conversions:	
Date	Details (must be accompanied by receipts)	Cost	
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	Total:	         :	

Signature of claimant:		
Date of claim:		

BMVA committee member:		
Signature of committee member:		
Date:		

*Note payment is normally by cheque in GBP. Payment in other currencies can be made to non-UK banks  but this form must be accompanied by either a Euro Payment form with sections 4, 5 and 6 filled out or Royworld payment form with sections 3, 4 and 5 filled out (see www.macs.ac.uk/~mjc/BMVA/forms).