Looking forward to seeing many of you in Columbus soon.

Please note hotel reservation deadline of March 8.

Form will be included in the materials in the packets provided in Columbus

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Central States Spring Forum
March 18-19, 2017
Hotel Reservation Information and Registration Form

Embassy Suites Columbus Airport, 2886 Airport Drive, Columbus OH  43219
Call hotel directly to make reservation: 614-536-0500, use group code HAD
Deadline for booking hotel room is March 8, 2017


Please mail your completed registration form to:
Allison Frankel, Central States Treasurer
9643 Ash Court
Blue Ash, OH  45242-6052



Name: ___________________________________

Email:____________________________________

Chapter:__________________________________

I have made my hotel reservation and am rooming with: _____________________________

I need a roommate please

Enclosed is my $75 registration check

Enclosed is my $38 check for ___ Saturday OR ___ Sunday ONLY

Dietary Requirements: __________________________________________

I prefer a Vegetable Plate: _______________________________________

Please send this form and your check to Allison Frankel at the address given above.

Please email Susie Blair with hotel reservation and roommate plans at sblair1@columbus.rr.com

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HADASSAH Central States
Spring Forum, March 18-19, 2017,      Columbus, OH

ELIGIBILITY AND REIMBURSEMENT INFORMATION

You are eligible for hotel reimbursement if you are a Central States Board Member (includes Chapter President(s) or her pre-approved representative, or Chapter Vice President(s) of Membership, Fundraising, Education/Programming or Treasurer. Other Chapter personnel may be reimbursed subject to prior approval by Central States.  You must attend the Board Meeting to be eligible for hotel reimbursement.

Hotel Coverage is as follows:
Your hotel room for Saturday, March 18, will be paid by Central States provided there are 2 or more eligible participants sharing the room.
You will be responsible for payment of any additional charges or nights.
If you are the only eligible participant in the room, you will pay half the room cost directly to the hotel.
If you are looking for a roommate, contact Susie Blair at 614-253-1161 or sblalrl@columbus.rr.com
Travel reimbursement is as follows:
Non-board members will be reimbursed for mileage only if traveling with eligible participants (listed above).
If you travel by your own car, the driver will be reimbursed at the rate of $0.14 per mile.  In addition, drivers may receive reimbursement for gas by submitting receipts.  Please try to minimize the number of cars from each city.
If you choose to rent a car rather than drive your own, the car renter may submit the cost of the rental and the gas receipts (please refill the gas tank before returning the car).  Again, please try to minimize the number of cars from each city.
Pre-approval from President or Treasurer is required for travel by plane. For pre-approval, submit costs of flying vs. driving. Reasonable airfare will be reimbursed. Receipts must accompany reimbursement form.
Mileage to and from your home airport at the rate of $0.14/mile in excess of $50.00 is reimbursable.
If you MUST take a shuttle or other transportation to and from your home airport, you will be reimbursed a maximum of $50 after you pay the first $20. A receipt MUST accompany the reimbursement form.

Additional Information:
Please note that per IRS regulations, subvention funds in excess of $0.14 per mile should be reported as income on your taxes.  If an individual receives in excess of $600 per year in subventions—documented expense reimbursements do not count in this total--then Hadassah will prepare a 1099 for you and it will be reported to the IRS. For additional questions about deductions and tax issues, consult your tax preparer

If you have any questions, please contact Allison Frankel, Treasurer at aofrankel@gmail.com or 513-984-0879 or Lynn Furness, President at LFurness@hadassah.org or 859-873-0328.

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REIMBURSEMENT FORM

Date__________________

Expenses must be submitted within 45 days of completion of trip or activity!

Name ____________________________________Phone (        ) _________________

Street Address______________________________City/St/Zip____________________

Central States Portfolio____________________ Chapter Portfolio__________________

TOTAL AMOUNT DUE   $ _____________________
*If you provide receipts, you may receive reimbursement for gas purchases.

If necessary, please explain the above expenses:

Attach receipts and send to:  Allison Frankel, 9643 Ash Ct, Blue Ash, OH 45242