Home / Action Ambassador Program / Action Ambassador Debrief Home / Action Ambassador Program / Action Ambassador Debrief Action Ambassador Debrief "*" indicates required fields Name of event host:*Host email:* Phone*Date of event:* MM slash DD slash YYYY Number of attendees:* 5-10 10-15 15-20 20-30 30-40 40+ Please provide a brief review of your event? Did you consider it a success, what did the guests say, any other comments that are helpful?*Please provide attendee list here with all names and emails:*NameEmail Add RemoveAre you requesting a host reimbursement?* Yes No If yes, please provide a written list of expenses incurred for this event.*ItemPrice Add RemoveEx: $40 appetizer platter, $50 drink tickets, $10 printing and postage for invites.Would you prefer to receive a check mailed via USPS or an electronic transfer of your reimbursement directly to your checking account? If check, Please provide address to send reimbursement check Check EFT If check, Please provide address to send reimbursement checkIf EFT, please provide the following: Bank Name Checking Account Number Routing Number Δ