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April 25, 2024 by Kbrab Uncategorized

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Name *

First

Last

Email *

Phone Number *

Where are you coming from ? MinnesotaAtlantaDallasHoustonLos AngelesNew YorkOaklandSeattleWashington DC – DMV

When will you arrive to attend the conference? *

• July 17 (Wednesday)
• July 18 (Thursday)
• July 19 (Friday)
• July 20 (Saturday)

If you need to arrive early or leave late outside the conference dates, write down your arrival and departure dates. Cost for extra days is $58 per person per night.

Would you like us to contact you to discuss how we can accommodate you or your children for special accommodation? (E.g. wheelchair access, children who need extra attention)

• Yes
• No

Which of these applies to you? *

• I am attending by myself
• I am attending with spouse (no children)
• I am attending with children (no spouse)
• I am attending with spouse and children

Spouse Name

First

Last

Phone number of spouse

Email address of spouse

Child 1 Name

First

Last

Child 1 Age

Child 2 Name

First

Last

Child 2 Age

Child 3 Name

First

Last

Child 3 Age

Child 4 Name

First

Last

Child 4 Age

Child 5 Name

First

Last

Child 5 Age

Comments or Questions

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