Conference Speaker

Name*

First Last

Full Legal Name as seen on your ID (include prefix or Jr, III, etc.):

Best Contact Email*

Unisex T-Shirt Size*

Can we book your flight?*

Sure!
No, I prefer to book my own flight

Flight Reimbursement

Flight Reimbursement Acknowledgement*

We are happy to reimburse economy or coach flights within reason. If you are booking your own flight and would like reimbursement, please send your receipt to laci@seanwes.com no later than August 1st, 2017.

I understand that I must send receipts for air travel to laci@seanwes.com by August 1st, 2017 in order to receive reimbursement.

Flight Booking Information

Best Contact Phone Number*

Date of Birth*

Passport Number (If Applicable)

Known Traveler Number (If Applicable)

Arrival Preference*

Morning
Noon
Evening

Arriving on Wednesday, September 27th, 2017.

Departure Preference*

Morning
Noon
Evening

Departing on Saturday, September 30th, 2017.

Emergency Contact Name*

First Last

Emergency Contact Phone*

Transportation Reimbursement

Transportation Reimbursement Acknowledgement*

We will gladly reimburse cab or ride share fares to and from the airport. Simply send any receipts to laci@seanwes.com no later than October 14th, 2017.

I understand that I must send receipts for transportation to laci@seanwes.com by October 14th, 2017 in order to receive reimbursement.

Talk Slides Submission Date

Talk Slides Submission Date*

We will be needing your completed talk slides by August 1st, 2017. We'll send you a reminder email in a couple of months.

I understand you will need my completed talk slides by August 1st, 2017.

W-9

Please upload your completed W-9 form for payment purposes.

Upload Completed W-9

Anything You Need From Us?

If there is anything at all we can do to make this a more enjoyable experience for you, or you have any comments, questions, or concerned, feel free to note them below!

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