Reimbursement Form – Space Working Party – Bologna 12-13 March 2025

REIMBURSEMENT FORM
Space Working Party, Bologna 12-13 March 2025

Reimbursement form for your inbound travel on 12 March:
transfer to airport/station of departure, flight/train to Bologna and transfer from Bologna airport/station to hotel I Portici.

"*" indicates required fields

Surname*

Name*

Address*

City*

Zip Code*

Phone*

Email*

Description of expenses (i.e. economy flight, taxi. etc.)*

Expenses refund for my participation to the Space Working Party, Bologna 12-13 March 2025: total amount in Euro*

Receipts & Documents*

Drop files here or

Accepted file types: pdf, Max. file size: 128 MB.

Bank Details

Please fill in every part of this box, otherwise no refund will be possible:

Bank*

Branch

Bank Address

Bank account holder*

IBAN CODE*

SWIFT CODE*

Please fill-in all fields in order to avoid any delay in the payment and enclose the receipts and tickets checking the amount you paid is visible.

REIMBURSEMENT FORMSpace Working Party, Bologna 12-13 March 2025

Bank Details

REIMBURSEMENT FORM
Space Working Party, Bologna 12-13 March 2025