<p> FALL 2015 USLAW NETWORK CLIENT CONFERENCE - TRAVEL AND LODGING FORM</p><p>AIRLINE TRAVEL</p><p>USLAW is sensitive to Corporate Gift Policies. Please read carefully below and select the option that is appropriate per your organization’s guidelines.</p><p>I request USLAW purchase airline ticket(s) on my behalf. I will purchase my own ticket(s) and understand that USLAW will not reimburse for this expense.</p><p>COMPLETE THE FOLLOWING SECTION REGARDLESS OF SELECTION ABOVE</p><p>Passenger #1: Invited Client Name As It Appears on ID (Please include First, Middle and Last name)</p><p>Date of Birth Gender Male Female (Required – MONTH DD, YYYY: ex. Apr 15, 1975) (Required)</p><p>Passenger #2: Spouse/Significant Other Name As It Appears on ID (Please include First, Middle and Last name)</p><p>Date of Birth Gender Male Female (Required – MONTH DD, YYYY: ex. Apr 15, 1975) (Required)</p><p>HOME ADDRESS (Complete Only If USLAW Purchasing Airfare)</p><p>Address </p><p>City, State, Zip </p><p>Cell Phone (Day of Travel) </p><p>TRAVEL PREFERENCES (Complete Only If USLAW Purchasing Airfare)</p><p>Departure Date Preferred Departure Time (Recommended Arrival Date is September 17) (Recommended Arrival Time No Later than 1:00 P.M.)</p><p>Return Date Preferred Return Time (Recommended Return Date is September 20 ) (Recommended Return Time is Morning)</p><p>Airport for Departure Airport to Return </p><p>Airport for Departure Airport to Return (For Spouse/Significant Other if different from Client)</p><p>Seat Preference (Aisle, Middle, Window – Select for Client and Guest) </p><p>Know Traveler ID Attendee: Spouse/Guest: </p><p>AIRLINE (Complete Only If USLAW Purchasing Airfare)</p><p>Preferred Airline </p><p>Passenger #1 Frequent Flyer # Passenger #2 FF # </p><p>Alternate Airline (If Preferred Airline Not Available)</p><p>Passenger #1 Frequent Flyer # Passenger #2 FF # </p><p>(PLEASE COMPLETE THE SECOND PAGE AS WELL) SPECIAL REQUESTS OR CONSIDERATIONS FOR TRAVEL:</p><p>HOTEL ACCOMMODATIONS: </p><p>USLAW is sensitive to Corporate Gift Policies. Please read carefully below and select the option that is appropriate per your organization’s guidelines.</p><p>I request USLAW book a hotel room on my behalf. I request USLAW book a hotel room on my behalf; however, I will pay for the cost of the room. I will book my own hotel room and understand that USLAW will not reimburse for this expense.</p><p>(Reservation Will Be Made Under Name of Passenger #1)</p><p>Hotel Check-In Date: Hotel Check-Out Date: </p><p>Room Type: Non-Smoking or Smoking Bed Type: King or Double/Double </p><p>Please Note: USLAW will provide three nights’ lodging to its invited client guests. If you would like to arrive or stay after the conference dates we are happy to make those arrangements for you; however, you will be responsible for the extra evenings. </p><p>Please Return With Your Conference Registration Form to [email protected] or by fax to (800) 231-9110.</p>