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Speaker Information

First Name

Last Name

Agency/Organization

Office Phone

(###)

###

####

Personal Cell for official use only in the event of weather delays/cancellations. *

(###)

###

####

Email Address

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.

Arrival Date/Time

Departure Date/Time

Where are you traveling from? (City, State)

Number of lodging nights needed (Presidential Inn at Joint Base Andrews)

Airfare Estimate

Rental Car Estimate

Taxi, Uber, etc. Estimate

Parking at Airport

Mileage To Airport From Home (one-way)

Will you need base access?

Please let us know if you will need us to submit a base access request for you.

Materials needed onsite for course

SMS 23A Speaker Registration

Please complete the form below