Meeting Organizers Form for an IUBMB Jubilee Awardee – Bank Form Bank form – Jubilee Meeting Organizer Meeting details Name of IUBMB Jubliee Award Lecturer * Total amount * USD Enter approved amount. The total maximal amount is US $3,000. Currency confirmation * $USD Title of meeting * Location * Number of days meeting attended * Start date * End date * Bank Account Details First name * Middle name Last name * Full mailing address Email * Phone Name of Account Holder * As spelled on the bank documents Bank Name * Bank Address * City and State only Account number * *IBAN format for non-US banks; *Canadian bank format is branch transit-financial institution-account number SWIFT / BANK / BIC CODE ABA Code / Routing Number (US) nine-digit string *You will need to provide the full mailing address of the branch where the account is if you do not have any of the codes Address Reimbursement Please convert all expenses to USD when providing the total amount for each expense. Use Oanda for the day payment and attach a copy to your claim. Total amount to be reimbursed USD The IUBMB will provide the award of US $3,000 (total maximal amount) to the meeting organizer in support of the IUBMB Jubilee Award Lecturer’s travel, accommodations, and other expenses incurred by the Awardee. Supporting Documents Upload Receipts and Invoices * Drop a file here or click to upload Choose File(s) Maximum file size: 16.78MB Please upload the requested documents Please validate * * I declare all expenses are incurred for IUBMB purposes. All receipts / invoices are attached. Name of Organizer(s) * Submit If you are human, leave this field blank.