-||- IATSE -||-

* Delegate First Name:	*	* Delegate Last Name:	*
* Delegate Date Of Birth:			*

Passenger 2 First Name:		Passenger 2 Last Name:
Passenger 2 Date Of Birth:			*

Passenger 3 First Name:		Passenger 3 Last Name:
Passenger 3 Date Of Birth:			*

Passenger 4 First Name:		Passenger 4 Last Name:
Passenger 4 Date Of Birth:			*

* What Local are you a Member of?	*
* Delegate's Email Address:	**
* Delegate's Telephone Number:	*

Please Note: The first and last names listed above must match the valid ID or passport that will be used for travel.

Please provide your departure and arrival city & state, airport name, or airport code. Be specific as to times
needed (either departure time and/or arrival time) and also preferences of airline (if known) under Special
Requests. All effort will be made to honor your requests. Any upgrades will be paid for by Delegate.

* Flying From:

* Flying To:

* Departing (mm/dd/yyyy):

* Returning (mm/dd/yyyy):

Departing Time:

Returning Time:

**Please Note: Returning Time Can Be No Earlier Than 11:00AM Due to Elections on Friday, July 21, 2017.

Special Requests:

NEED A CAR?:

Yes

Altour will be able to provide a discount of up to 30% with various car rental companies in Hollywood.

Car Type:

Preferred car company:

Do you have a preference?:

Yes

Company:

Frequent Renter #:

Discount #:

Special Requests:

Comments:

Delegates are reminded that Article Four, Section 9 of the International Constitution and Bylaws provides that
“each accredited delegate shall be entitled to collect an amount equal to coach air transportation from home airport to the Convention city and return … the amount due to be computed by the most direct route booked at least thirty (30) days in advance”.