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Speaker Bio Form

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Roger Hernandez
Roger Hernandez

This form collects contact and biographical information from a speaker, including their name, address, email, phone number, and bio. It also requests information about their travel, including flight, hotel, and car rental details, as well as any AV needs, handouts, resources, or special requests for their presentation.

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SPEAKER BIO AND INFORMATION FORM-Long Form Contact Information: Name: __________________________________________________________ Address: ____________________________City: ________ State: ____ Zip Code: ______ Email Address: ________________________ Cell Phone#: _________________________ Biographical Information: Short Bio: __________________________________________________________________ __________________________________________________________________ Complete Bio:__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Flight Information: Please make flight arrangements for me. Legal Name: _______________________________ DOB: ______________________ Departure Airport: __________________ Preferred Airline: __________________ Frequent Flyer # ________________________ (If Applicable) Passport Number: ________________Passport Expiration Date: ____________ Hotel Information: Please make hotel reservations for me Name as it appears on my ID: _______________________________ Preferred Hotel Chain: __________________ Frequent Traveler # ___________________
SPEAKER BIO AND INFORMATION FORM-Long Form Car Rental Information: Please make car rental reservations for me Name as it appears on my ID: _______________________________ DOB: ______________________ Driver’s License #: __________________ State: _______ Preferred Car Rental Company: __________________ Membership # _________________ AV Needs: Projector: Laptop: Microphone: (Type: _____________) Remote: ______________________ Other: ____________________________ I use: PC MAC Presentation Format: Keynote Powerpoint Handouts/Resources: Handouts: I will bring my own copies/handouts Please make copies for me Resources: Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Resource Set Up Needs: _______________________________________________________ Special Requests: (Dietary needs, allergies, or other special requests below) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

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Speaker Bio Form

  • 1. SPEAKER BIO AND INFORMATION FORM-Long Form Contact Information: Name: __________________________________________________________ Address: ____________________________City: ________ State: ____ Zip Code: ______ Email Address: ________________________ Cell Phone#: _________________________ Biographical Information: Short Bio: __________________________________________________________________ __________________________________________________________________ Complete Bio:__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Flight Information: Please make flight arrangements for me. Legal Name: _______________________________ DOB: ______________________ Departure Airport: __________________ Preferred Airline: __________________ Frequent Flyer # ________________________ (If Applicable) Passport Number: ________________Passport Expiration Date: ____________ Hotel Information: Please make hotel reservations for me Name as it appears on my ID: _______________________________ Preferred Hotel Chain: __________________ Frequent Traveler # ___________________
  • 2. SPEAKER BIO AND INFORMATION FORM-Long Form Car Rental Information: Please make car rental reservations for me Name as it appears on my ID: _______________________________ DOB: ______________________ Driver’s License #: __________________ State: _______ Preferred Car Rental Company: __________________ Membership # _________________ AV Needs: Projector: Laptop: Microphone: (Type: _____________) Remote: ______________________ Other: ____________________________ I use: PC MAC Presentation Format: Keynote Powerpoint Handouts/Resources: Handouts: I will bring my own copies/handouts Please make copies for me Resources: Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Title: ______________________ Cost: _____________ Resource Set Up Needs: _______________________________________________________ Special Requests: (Dietary needs, allergies, or other special requests below) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________