2025 All-State Hotel Reimbursement Dr. Robin has split the cost of the hotel rooms (all nights) for All-State between the eight (8) guitar students who stayed there. The cost for each student is $118.00. A small processing fee of $4.00 has been added to credit card transactions.This form will stay open through midnight Wednesday, February 5, 2025.Student's Name First Last School If filling out form on a mobile device, you may need to turn it sideways to see all fields.Hotel Reimbursement (all nights per student) Price: Processing Fee Price: Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Billing Name First Last Billing Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email (for emailing receipt) IMPORTANT: Click "Submit" once only. Allow a minute for processing.A receipt will be sent to the email address you provided. If you do not receive it, please check your other folders, including spam. For additional help, contact [email protected].