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Seminar Travel Form

This webform is for QSB Seminar guests to request travel arrangement assistance. Please know certain sections may ask for information as they are listed on government identification.

If you would like to book your own travel or have personal travel days within your visit, please be sure to contact QSB Staff in advance for the reimbursement policy prior to booking.

For any questions about your travel or about this form, please email QSB Staff.

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1 Start 2 Airfare 3 Rental Car 4 Lodging 5 Comments 6 Complete

Contact Information

Email Address *

First, Middle, and Last Name (as listed on government ID) *

This is what we will use when organizing your travel arrangements.

Preferred First & Last Name (if different from above)

This is how we will refer to you on our advertising materials and our communications with you.

Preferred Pronouns

Contact Phone Number *

Name of your UC Merced Seminar Host *

Date of Seminar *

Month

Day

Year

Please list any dietary restrictions here.

Please select from the following options on which travel arrangements you will need. *

Select all that apply.

I will need airfare.

I will need a rental car.

I will need parking arrangements on-campus.

I will need lodging arrangements.

I booked my own travel and will request reimbursement post-seminar.

Leave this field blank

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Seminar Travel Form

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