This form collects contact and biographical information from a speaker, including their name, address, email, phone number, and bio. It also requests information about their travel, including flight, hotel, and car rental details, as well as any AV needs, handouts, resources, or special requests for their presentation.
1. SPEAKER BIO AND INFORMATION FORM-Long Form
Contact Information:
Name: __________________________________________________________
Address: ____________________________City: ________ State: ____ Zip Code: ______
Email Address: ________________________ Cell Phone#: _________________________
Biographical Information:
Short Bio: __________________________________________________________________
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Complete Bio:__________________________________________________________________
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Flight Information: Please make flight arrangements for me.
Legal Name: _______________________________
DOB: ______________________ Departure Airport: __________________
Preferred Airline: __________________ Frequent Flyer # ________________________
(If Applicable) Passport Number: ________________Passport Expiration Date: ____________
Hotel Information: Please make hotel reservations for me
Name as it appears on my ID: _______________________________
Preferred Hotel Chain: __________________ Frequent Traveler # ___________________
2. SPEAKER BIO AND INFORMATION FORM-Long Form
Car Rental Information: Please make car rental reservations for me
Name as it appears on my ID: _______________________________
DOB: ______________________ Driver’s License #: __________________ State: _______
Preferred Car Rental Company: __________________ Membership # _________________
AV Needs:
Projector: Laptop: Microphone: (Type: _____________)
Remote: ______________________ Other: ____________________________
I use: PC MAC Presentation Format: Keynote Powerpoint
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: (Dietary needs, allergies, or other special requests below)
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