PSL Project Expenses - ProSport Live

Please fill out the information below and attached any receipts/proof of purchase for records.

Project Name(Required)

Agent/Talent Full Name(Required)

First Last

Your Email Address(Required)

Start Date(Required)

Closing Date(Required)

Flights Info/ Ref #

Flights Total

Hotel-Accommodations Info/ Ref #

Accommodations Total

Transportation Info/ Ref #

Transportation Total

Fuel/EV Info/ Ref #

Fuel/E.Charge Total

Meals Info/ Ref #

Meals Charge Total

"Others" Info/ Ref #

Others Total

Total Expenses Amount

Please allow 24-48 hours for payment distribution

Select Reimbursement Account(Required)

Select the account to receive your reimbursement payment.

Zelle

Venmo

Wire Transfer (fees apply)

Zelle Account(Required)

Venmo Account(Required)

Bank Name(Required)

Bank Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Beneficiary Full Name(Required)

First Last

Beneficiary Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

ABA Number(Required)

Account Number(Required)

Additional Wire Instructions(Required)

Signature