DOUBLE ROOM CONFERENCE OPTION - TELL US WHO YOU ARE GOING TO ROOM WITH

This form is for those who are selecting the Shared Room Full Conference Option. Before selecting this option you should find someone else willing to room with you. Please fill out this form so we can match you with the correct person. (i.e. your wife as opposed to someone else's wife).

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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. What is your phone number in case we need to reach you at the start of the conference?

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* 4. Who would you like to room with? Please state their first and last name.

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* 5. Please provide the email address for the person you will room with.

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* 6. What is the phone number of the person you will room with in case we need to reach them at the start of the conference

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* 7. Is the person you are planning to room with a verified speaker?

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