SPEAKER HOTEL REQUEST
FULL NAME (AS IT APPEARS ON YOUR ID)
EMAIL ADDRESS
FULL ADDRESS
CITY
STATE
ZIP CODE
CELL PHONE NUMBER
EMERGENCY CONTACT
DATE OF BIRTH (MM/DD/YYYY)
AS AN ICES SPEAKER, WE COVER A 2-NIGHT STAY INCLUDING ROOM AND TAX. ANY ADDITIONAL DAY WILL BE YOUR RESPONSIBILITY.
HOTEL CHECK-IN DATE
HOTEL CHECK-OUT DATE
ROOM TYPE Please select your room typeSingleDouble
