Conference Registration - Eudaimonia Institute

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Name*

Title

First

Last
Travel Arrangements
- I would like a room at Graylyn reserved for me
- I will be driving to the conference
- I will be flying to the conference
Driving Details

Arrival Date Arrival Time Departure Date Departure Time
Flight Arrival Details

Arrival Date Arrival Time (pm or am?) Airport Airline Flight Number
Flight Departure Details

Departure Date Departure Time (pm or am?) Airport Airline Flight Number
Phone

This field is for validation purposes and should be left unchanged.

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To Be Completed By Presenters Only

Please complete the forms below and upload.

Name*

First

Last
Presentation Paper and Abstract Upload
Accepted file types: pdf, doc, docx.
W-9 Upload (for US citizens)
Accepted file types: pdf, doc, docx.
W-8BEN & Foreign National Info. Form Upload (for non- US citizens)
Accepted file types: pdf, doc, docx.
A/V Permission Form Upload
Accepted file types: pdf, doc, docx.
Short Bio Upload
Accepted file types: pdf, doc, docx.
Headshot Photo Upload
Accepted file types: jpg, png.
Presentation PPT Upload
Accepted file types: pptx, ppt.
Name

This field is for validation purposes and should be left unchanged.

This iframe contains the logic required to handle Ajax powered Gravity Forms.

Eudaimonia Institute

Arrival Date	Arrival Time (pm or am?)	Airport	Airline	Flight Number

Departure Date	Departure Time (pm or am?)	Airport	Airline	Flight Number