Presenter Profile Presenter Profile 1Contact2Publicity3Travel4Presentation5Reimbursements Presenter Contact InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev.Rev. Dr.Bishop Prefix First Last Suffix Email Enter Email Confirm Email Primary PhoneOn-Site PhoneIf you have an alternate phone number such as a cell phone where you can be reached while en route to or during the event, please provide it here. This number will be kept confidential and only provided to appropriate event staff.Will you be traveling with a spouse?* Yes No Spouse's Name* First Last Would you like to provide an administrative contact with whom we can coordinate travel and other logistical details? Yes No Administrative Contact Name First Last Administrative Contact Email Administrative Contact Phone Publicity InformationBiographyMax. file size: 8 MB.HeadshotMax. file size: 8 MB.Session TitlesSession Day/TimeSession TitleScripture Please provide the title of each session you will be presenting. Note that multiple sessions may be added. Travel DetailsArriving viaAirCarDeparting viaAirCarAir Travel Booking I will book my own flight(s) and be reimbursed Please book a flight on my behalf To ensure that your travel is to and from the most convenient airport and that travel times are conducive to your schedule, we recommend that you book your own flight and be reimbursed. However, if necessary, we are happy to book a flight on your behalf. Major airports in North Alabama are Birmingham-Shuttlesworth International Airport (BHM) for events in the Birmingham area and Huntsville International Airport (HSV) for events in the Huntsville area. Both airports are served by American, Delta, and United. Birmingham is additionally served by Southwest, and Huntsville is additionally served by Frontier and Silver Airways. Other major airports in the region include Hartsfield-Jackson International Airport in Atlanta (ATL) and Nashville International Airport (BNA), though these will require additional transportation of at least two hours to North Alabama.Booking Information If we will be booking a flight on your behalf, please provide the following information.Legal Name First Middle Last Suffix Please provide your name as it appears on your passport or other identification.Date of Birth MM slash DD slash YYYY Preferred AirlineAmericanDeltaUnitedSouthwest (BHM Only)Frontier (HSV Only)Silver (HSV Only)No PreferenceAirlines listed here are those that operate out of Birmingham-Shuttlesworth International Airport (BHM) and/or Huntsville International Airport (HSV). If you will be flying into a different airport on a different airline than those listed here and we will be booking a flight on your behalf, please speak with your event contact for further instructions.Preferred Airline Frequent Flier Number Known Traveler Number (if applicable) Redress Number (if applicable) Preferred Departure Airport Please enter the three-character airport code. If you are unsure of the correct code, click here to look it up.Preferred Return Airport Please enter the three-character airport code. If you are unsure of the correct code, click here to look it up.Arrival DetailsArrival Airline Arrival Flight Number Scheduled Arrival Date MM slash DD slash YYYY Scheduled Arrival Time : Hours Minutes AM PM AM/PM Arrival Airport Birmingham-Shuttlesworth International Airport (BHM) Huntsville International Airport (HSV) Departure DetailsDeparture Airline Departure Flight Number Scheduled Departure Date MM slash DD slash YYYY Scheduled Departure Time : Hours Minutes AM PM AM/PM Departure Airport Birmingham-Shuttlesworth International Airport (BHM) Huntsville International Airport (HSV) Local TransportationLocal Transportation Preference I would prefer for my host to provide local transportation I would prefer to obtain a rental car For most events, you will be assigned a host who will be your primary contact during the event and provide local transportation while you are in town. If you would prefer to obtain a rental vehicle, please indicate it here. Please note that, for some events, we may ask you to obtain a rental car regardless of the preference you indicate here due to the event schedule, host availability, and other factors. If this is the case, we will contact you in advance.Local Transportation Booking I will book my own rental car and be reimbursed Please book a rental car on my behalf We recommend that you book your rental car on your own and be reimbursed following the event, including fuel and other charges. If you would prefer, however, we are happy to make a reservation on your behalf based on your air travel itinerary.Preferred Rental Car CompanyAlamoAvisBudgetThriftyDollarEnterpriseHertzNationalPaylessPreferred Rental Car Company Rewards/Member Number LodgingCheck In Date MM slash DD slash YYYY Check Out Date MM slash DD slash YYYY Room Type Preference Single Double Note that, in general, you will have a room to yourself, and this is only to indicate your preferred type of room.Lodging Preferences Please note that, in many cases, the North Alabama Conference has contracted a hotel block for your event. The information below will only be used if this is not the case.Lodging Booking I will make a hotel reservation and be reimbursed Please make a hotel reservation on my behalf We recommend if you are not accommodated in a contracted hotel block for the event, that you make your own hotel reservation and be reimbursed following the event. If you would prefer, however, we are happy to make a reservation on your behald.Preferred Hotel Brand Preferred Hotel Brand Rewards/Member Number Hotel Name Hotel Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Presentation RequirementsAudio-Video NeedsPreferred Microphone Type No Preference Wireless Headset Wireless Lavalier Wireless Handheld Wired Handheld Lectern Microphone Will you have any multimedia requirements for your presentation? Yes No This may include videos, graphics, PowerPoint, or similar content to be projected or displayed on a screen.Do you need a computer provided? Yes, with an operator Yes, without an operator No, I will bring my own computer Please note that in some cases, particularly where your presentation will take place in a large auditorium with an audio/video staff, you may be required to use a provided computer with an operator.What type of video connection will you need? HDMI VGA with audio VGA without audio Multimedia Content Drop files here or Select files Max. file size: 8 MB. We will need to receive any multimedia content (videos, graphics, PowerPoint presentations, etc.) at least 5 days before the start of the event. If your materials are ready at this time you may upload them here, or may contact your event contact for details on providing content to be loaded onto the computer.Script/Media Cues Drop files here or Select files Max. file size: 8 MB. Please provide a script or outline with media cues that can be provided to the computer operator at least 48 hours before the start of the event. If your script/outline is ready at this time you may upload it here, or may contact your event contact for details on providing this information.Stage Needs Please enter the quantity, if any, of each of the following that you will need on stage.Do you need handicap access to the stage? No Yes High-Back ChairsStoolsCafe-style TablesLecternWhiteboard with MarkersPoster Paper with MarkersEaselsBottles of WaterPrinting NeedsWill you need any materials (handouts, etc.) printed for your presentation? No Yes Materials to be Printed Drop files here or Select files Max. file size: 8 MB. Please provide any materials to be printed at least 14 days in advance of your event. We will plan to print enough copies of each file uploaded for all attendees at your event, but if you need a different quantity printed please contact your event contact.Additional NeedsPlease describe any additional needs ReimbursementsIt is the general policy of the North Alabama Conference will reimburse the following expenses upon submission of receipts following the event: Mileage (if applicable) Car rental expenses including fuel charges (if applicable) Hotel expenses (if applicable) Airfare (nonrefundable airfare may be reimbursed prior to the event) Meals and other incidentals excluding alcoholic beverages Supplies and other materials necessary for your presentation Additional expenses may be reimbursed with the advance approval of the event director. Your event contact will provide you with details about submitting receipts and mileage following the event.Airfare Receipt Drop files here or Select files Max. file size: 8 MB. If you have already purchased airfare, you may submit it here for reimbursement.HonorariumPayable to Mailing Address for Honorarium Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Memo Please note that if the honorarium is payable to you, we will need to obtain your Social Security Number for tax purposes. For security purposes, we will contact you directly to obtain this information.