Guest speaker information form

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Guest speaker information form

  1. 1. GUEST SPEAKER INFORMATION FORM Contact Information: Name: _________________________________________ Address: ____________________________City: ________ State: ____ Zip Code: ______ Email Address: ________________________ Cell Phone#: _________________________ Flight Information: I prefer to make my own flight arrangements *Please make flight arrangements for me (please fill in the following information below) *Name as it appears on your ID: _______________________________ DOB: ______________________ Departure Airport: __________________ Preferred Airline: __________________ Frequent Flyer # ________________________ Hotel Information: I prefer to make my own hotel reservation *Please make hotel reservations for me (Fill in the following information below. Also, be sure to bring a credit card to provide for incidentals. The hotel requests this.) *Name as it appears on your ID: _______________________________ Preferred Hotel Chain: __________________ Frequent Traveler # ___________________ Car Rental Information: I prefer to make my own car rental reservation *Please make car rental reservations for me (Fill in the following information below.) *Name as it appears on your ID: _______________________________ DOB: ______________________ Driver’s License #: __________________ State: _______ Preferred Car Rental Company: __________________ Membership # _________________
  2. 2. GUEST SPEAKER INFORMATION FORM AV Needs: Projector: Laptop: Microphone: (Type: _____________) Remote: ______________________ Other: ____________________________ I use: PC MAC Presentation Format: Keynote Powerpoint Your presentation will be projected from Pulpit Connection Sound Room Handouts/Resources: Handouts: I will bring my own copies/handouts Please make copies for me Resources: Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Resource Set Up Needs: _______________________________________________________ Special Requests: (Please inform us of any dietary needs, allergies, or other special requests below) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

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