Speaker Information

First Name

Last Name

Agency/Organization/Company

Personal Cell

Authorized Use Only: Contact Speakers for Weather Delay/ Cancellation/ Emergency

(###)

###

####

Email Address

Accommodation Information

Government Approval Required Authorized Travel Via Contract: Any Changes Must be Coordinated & Approved by Flatter, Inc. Prior to Travel

Date of Arrival

YYYY

Arrival Time Estimated

Departure Date

YYYY

Departure Time Estimated

Speaker's Origin of Travel (City, State)

Number of Lodging Nights Required (Presidential Inn at Joint Base Andrews)

Airfare Estimated Cost

Government Traveler: Authorized Economy Class/Seating

Rental Car Estimated Cost

Checked Luggage Fees

Government Traveler: Authorized One Checked Bag (Each Way)

Taxi, Uber, Lyft Estimated Cost

Airport Parking Cost

Mileage to Airport From Home Address (One Way)

Mileage to Joint Base Andrews From Home (One Way)

Complete Field if Driving to Joint Base Andrews

Possess Valid Military ID/CAC for Base Access?

If No, Additional Information Required for Visitor Base Pass Request

Dietary Restrictions:

GO TAP 25E Speaker Registration