SYMPOSIUM TRAVEL FORM

THE HARPER-JORDAN MEMORIAL SYMPOSIUM WILL BE WEDNESDAY (10/30) THROUGH SATURDAY (11/2) AFTERNOON at the intercontinental St. Paul, MN.

PLEASE FILL OUT THIS FORM FOR YOUR TRAVEL TO BE TAKEN CARE OF.

IF YOU JUST NEED A HOTEL, FILL OUT YOUR NAME , EMAIL, PHONE, AND THE QUESTIONS AT THE BOTTOM REGARDING HOTEL.

IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT PAIGE@BLACKLIVESUU.COM

Name *
Name
IMPORTANT: Please use your name as it appears on your travel identification documents.
FAA Requirement
Date of Birth
Date of Birth
Cell Phone *
Cell Phone
Please indicate how you will be traveling
if avalible
Where are you coming from? For Plane Travel please include AIRPORT CODE
Where are you going. For Plane Travel please include AIRPORT CODE
if applicable
Please include Airline AND FF number if applicable
I need BLUU to book my hotel room.
Check-in date
Check-in date
Check-out date
Check-out date
Please share any information you think is important to book your travel