Marketing Fund - Request For Reimbursement Form

Marketing Fund Expense Reimbursement Form
Full Name (Fund recipient)*

First NameLast Name
Film / Project Name*
Fund Round (Spring or Fall) *
Fund Year*
Phone Number*

Area CodePhone Number
E-mail*
Your E-mail Address
Mailing Address for Cheque*

Street Address

Street Address Line 2 (if applicable)

CityProvince

Postal Code
EXPENSES

When submitting receipts please endeavour to # them or submit them in the order you list them here.

For "Item Category" use general terms such as: Entry Fees, DVDs/Blu-rays, Travel, advertising, postcards/posters, website, design services, or Vimeo.

For "Purchase Date" enter as 25 Jan 2020.

For Vendor enter Vimeo or Film Freeway, for example.

Many entry fees are charged in USD. We will pay out the price in USD funds as listed on the receipt or will use the rate on www.xe.com the day we process the reimbursement.

OR - if you have a screenshot of your credit card statement showing the exact CAD charge and date, please upload it below and we will pay that. This does not replace submitting an actual receipt however.

For "Festival or notes" enter Festival Name here, if entry fees: eg "VWIFF", or other description.

	Item Category	Purchase Date	Vendor	USD $ (if applies)	CAD $	Festival or notes
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2
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5
6
7
8
9
10

Total Cost in CAD*
Credit Card Statements if applicable

Upload a File

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Upload invoice / receipt for item 1 (and all items if in one file)

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Upload invoice / receipt for item 2

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Upload invoice / receipt for item 3

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Upload invoice / receipt for item 4

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Upload invoice / receipt for item 5

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Upload invoice / receipt for item 6

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Upload invoice / receipt for item 7

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Upload invoice / receipt for item 8

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Upload invoice / receipt for item 9

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Upload invoice / receipt for item 10

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Notes:
How would you like to be paid your reimbursement?

cheque (mailed to the address above)e-transfer (sent to the email above)e-transfer (sent to the phone # above)
If e-transfer do you have auto-deposit enabled?

YesNo
If you wish to get an etransfer the Question and Answer will be:

Q: What is the WFG's birthday?

A: 27Dec1974
FINAL REPORT
If this is your final reimbursement request please submit your final report here.

Please detail how the fund was helpful to the marketing / distribution of your film / project and even your filmmaking career if applicable.

These reports greatly help us complete our annual funding requests to Manitoba Film and Music. Please note that we may quote you.
Final Report (word document preferred)

Upload a File

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Marketing Fund Expense Reimbursement Form

FINAL REPORT