Speaker Confirmation Form

Program Title*

Your Contact Information (Program Coordinator)

Name*

First Last

Email*

Participant Information

This person will serve as*

Check all that apply

Coordinator
Moderator
Speaker

Is this person an AALL Member?*

Yes
No

Participant's Name*

First Last

Participant's Title*

Participant's Institution*

Participant's City and State*

City State

Participant's Email*

Notes for AALL

Expenses

AALL members cannot request reimbursement for travel, housing, conference registration, or incidentals.

Non-AALL member speakers will receive a complimentary single-day registration for the day of their program.

Independently produced SIS programs cannot request reimbursements for their nonmember participants; if non-AALL member speakers on IP SIS programs require honoraria or reimbursement of travel-related expenses, the sponsoring SIS is responsible for these costs and should work directly with the speaker.

Housing

AALL provides ONE night of complimentary housing at one of the conference hotels unless limited flight schedules necessitate an extra night. Booking made through AALL's housing agency and direct-billed to AALL; speaker will be contacted.

Yes
No

Round-trip Coach Airfare

Speaker will be contacted with details for airfare reimbursement.

Yes
No

Or Auto Mileage Reimbursement

Calculated at $.585/mile. Not to exceed equivalent round-trip airfare cost; on-the-road housing/meals not included. Rental cars will not be reimbursed.

Yes
No

Estimated Number of Miles

Ground Transportation Reimbursement

Transit to/from airports, home airport parking, tolls (with receipts).

Yes
No

Meal Expense Reimbursement

Limited to $100 per day with itemized receipts. Per diem does not apply.

Yes
No

Honorarium

Contingent upon approval by AALL.

Yes
No

Honorarium Amount Requested

Name

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

Speaker Confirmation Form

CONFIRM YOUR PROGRAM’S SPEAKERS

Your Contact Information (Program Coordinator)

Participant Information

Expenses