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HEFN 10th Anniversary Meeting Online Speaker Registration Form
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HEFN 10th Anniversary Meeting Online Speaker Registration Form
First Name
(Required)
Last Name
(Required)
Organization
(Required)
Street
(Required)
City
(Required)
State
(Required)
Zip Code
(Required)
Phone
(Required)
Email Address
(Required)
Assistant's Email
Speaking Date/Time
(Required)
Arrival Date/Time
(Required)
Meals
(Required)
As a speaker, you are invited to attend breakfast and lunch on the day you are speaking. Please indicate the meals you will be attending only on the day you are speaking.
Monday, November 2nd Breakfast
Monday, November 2nd Lunch
Tuesday, November 2nd Breakfast
Tuesday, November 2nd Lunch
Dietary Restrictions
(Required)
Check the box that applies
None
Pescatarian (seafood, no meat)
Vegetarian (no meat or seafood)
Vegan (no animal products)
Other:
Airfare
Airfare for speaker only. Airfare over $600 round trip must have prior approval from CGBD. Obtain air tickets as soon as possible after speaking engagement agreement reached with CGBD. Book trip in an economical and efficient manner. Business and first class travel will be reimbursed at coach fare rates.
Transportation
All ground transportation involved in getting to/from the CGBD sponsored event is covered. If you rent a car, we will reimburse for a mid-size vehicle or smaller. If a larger car is chosen, the cost differential will be the responsibility of the speaker. Gasoline costs on rental cars will be reim-bursed, provided receipts are included. Return the vehicle to the car rental location with a full tank of gas. If the car rental agency fills the tank, the speaker will bear the cost differential between the car rental price of gas and the average pump price for the region. A vehicle must be returned to the same location from which it was picked up. If it is returned to another location, the speaker will assume the cost of the drop-off fee, additional mileage, time and gasoline. The number of allowable days is determined by CGBD for what is appropriate for the length of travel to and from the event site. Mileage: Use of your personal car will be reimbursed at .505¢ / mile. This is not in addition to gasoline which is calculated in the above rate. Mileage will be checked for accuracy of round trip travel from speaker home to CGBD event site. Prior approval must be obtained if use of personal car exceeds 90 miles one way.
Parking
Parking: All parking costs will be reimbursed. We ask that you use discretion when parking and use the long-term lots at your departure airport. Use of day use lots will be reimbursed at long-term lot rates.
Mileage
Use of your personal car will be reimbursed at .505¢ / mile. This is not in addition to gasoline which is calculated in the above rate. Mileage will be checked for accuracy of round trip travel from speaker home to CGBD event site. Prior approval must be obtained if use of personal car exceeds 90 miles one way.
Meals
Reimbursements are limited to those consumed in transit and by the speaker only. Once on-site, three meals a day as well as morning and afternoon refreshments are provided. In-room honor bar pur-chases and/or room service will not be reimbursed.
Lodging
The speaker is responsible for paying for the hotel room and taxes. CGBD will reimburse for the number of nights that are determined by CGBD for what is appropriate for the length of travel involved and the engagement for which the speaker is booked.
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