2013 SALC Registration - Alum I Survey

1.Please complete the below form with all required responses. For preferred phone number, please provide a number you will use while traveling.(Required.)

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Preferred email:

Preferred phone:

2.What is your Preferred Gender Pronoun?(Required.)

3.TRAVEL REQUEST: Please plan to arrive at the Capital Hilton by 3:00 p.m. on Thursday, July 25, 2013. The Alumni Conference adjourns Saturday, July 27, 2012 at 4:00 p.m. Unless you provide additional information in the next question, your itinerary will be based on these Thursday and Saturday arrival and departure times. (Required.)

Full legal name (as it appears on govenment-issued ID)

Flight, train, bus?

Gender (please answer only Male or Female, as it appears on your government-issued ID, per TSA flight requirements)

Date of Birth (MM-DD-YYYY)

Departure Airport

Preferred airline(s), if applicable

Frequent flyer number, if applicable

4.If you have special requests or concerns about your travel request, please list them here.

5.HOTEL. There will be two alumni booked in each double room with two queen sized beds. If you have a roommate preference, please enter that person's name here. We will attempt to match roommates as requested, but it may not be possible in all cases. You may request a single at the cost of $84.50 per night (plus applicable taxes and fees). Please enter "SINGLE" in the field below if you choose to do so.(Required.)

6.Do you have any dietary restrictions, i.e.; nut allergies, lactose intolerant, gluten-free, etc.?

Thank you for completing the registration. We appreciate your time and look forward to seeing everyone in DC!

If you have any questions, please contact Point Foundation Conference & Program Manager Chris Garcia (tel. 323-933-1234 ext. 233).