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Participant Information

First Name

Middle Initial

Last Name

Name for Nametag

Agency/Organization

Job Title

Office Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Office Phone

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Personal Cell, for use only for weather delay/cancellation to contact attendee directly

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Email Address

POC First and Last Name

POC Email Address

POC Phone Number

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Accommodation Information

For those authorized travel via contract, government approval is required (Flatter, Inc. will execute this). Estimates that change MUST be coordinated and approved by Flatter, Inc. and the government prior to travel to the Hyatt Regency Crystal City. Please use the following link https://www.hyatt.com/en-US/group-booking/WASRC/G-DTFF to make your reservation or call the Hyatt Regency Crystal City directly at 877-803-7534. We have a block of rooms reserved for the course. The group code is G-DTFF. The cut off for the hotel block is Monday, 5 July. If you have any questions regarding lodging or meals, please contact Ms. Katie Bishop at katie.bishop@flatterinc.com. Please note that if you are driving to the Hyatt, there is a $30/day valet parking reduced rate offered.

Arrival Date/Time

Departure Date/Time

Number of lodging nights

Airfare Estimate

Rental Car Estimate

Taxi, Uber, etc. Estimate

Parking at Airport

Mileage To Airport From Home (one-way)

Please list any dietary restrictions and/or special needs:

SLOC 21B Faculty (Contract) Registration

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