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. 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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