PhoneThis field is for validation purposes and should be left unchanged.Lectureship Travel ItineraryName(Required) First Last Phone(Required)Email(Required) Will You Be Flying(Required) Yes No Name of AirportArrival Date MM slash DD slash YYYY Arrival Time Hours : Minutes AM PM AM/PM Flight #AirlineDeparture Date MM slash DD slash YYYY Departure Time Hours : Minutes AM PM AM/PM Flight #AirlineI will need transportation (check all that apply ) From The Airport To The Airport I will be staying overnight the following dates : Check In Date MM slash DD slash YYYY Check Out Date MM slash DD slash YYYY Hotel I would like a room at the hotel the school has secured (Hyatt Place Lakeland Center) OR I will make my own arrangements for lodging and understand I will be reimbursed for reasonable hotel expenses for each day that I speak. How Many People In Your PartyBed Preference King Size Two Doubles No Preference Additional InformationPlease Upload Receipts/Confirmation Showing Total Expenses to be Reimbursed (These can be submitted later if you do not have them now, either on another form online or in person at the Lectureship) Drop files here or Select files Max. file size: 512 MB.
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