Speaker Registration

Business Information

Company Name:
Website URL:

Speaker Information

Job Title:
First Name:
Last Name:
e-Mail Address:
Primary Phone:
Street Address:
City:
State:
Zipcode:
Speaker Bio:
The association would like a picture for our conference brochure. Please provide a picture to treasurer@wsfia.org by September 15th. Will you be providing a picture?

Class Information

All classrooms contain the following: Computer projector, tablet, markers, lavaliere microphone, podium. THE ASSOCITION DOES NOT PROVIDE A LAPTOP FOR ELECTRONIC PRESENTATIONS, SPEAKERS NEED TO PROVIDE THEIR OWN LAPTOP.
Title:
Description:

Classroom Needs

Audio Visual Needs:
DVD | VCR
Other:
Printing Needs:
Yes | No

ALL HANDOUTS WILL BE PROVIDED TO CONFERENCE PARTICIPANTS ON OUR WEBSITE. IT WILL BE THE RESPONSIBILITY OF THE PARTICIPANT TO PRINT OUT ANY HANDOUTS. Will you be providing handouts? Yes | No

Many of our members request presentations from the Conference. Please provide your presentation in electronic format by October 15th to treasurer@wsfia.org or bring to the conference. Will you be providing your presentation? Yes | No

Speaker Reimbursement Information

(All are estimates at the time of Registration)

Please fill out the attached expenses. All amounts are estimates and actual costs will be reimbursed after the conference. The Association will make your room reservation and take care of the room expenses. **** Receipts are required for reimbursement ****

Speaker Fee:
Travel Expenses:

Airfare, Mileage (current federal rate), Shuttle, Misc **** RECEIPTS ARE REQUIRED ****

Lodging:
1 Night ($92.00)
2 Nights ($184.00)
3 Nights ($276.00)
4 Nights ($368.00)
None

(Must approve through your Conference Committee Contact)

Meals:

Reimbursed on your travel days at the rates below and while at the conference for meals not already provided by the Association. (Breakfast is provided on Tuesday, Wednesday and Thursday and Friday. Lunch is provided by the Association on Tues, Wed, Thurs; Dinner is provided on Wed & Thurs) Breakfast $10.00 Lunch $15.00 Dinner $25.00 *** RECEIPTS ARE REQUIRED ***