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ACPA Leadership Meeting Registration
ACPA Leadership Meeting Registration
Traveler Profile
Name
(Required)
Your E-Mail Address
(Required)
ACPA Leadership Roles
(Required)
Institution
(Required)
Day Time Phone #
(Required)
Mobile Phone #
Air Travel Information
Departure City/Airport
Departure Time and Date
Destination: Louisville, KY (SDF)
Return Time and Date
Airline
Hotel Accommodations
Reservations will be made at the
Seelbach Hilton
, 500 Fourth Street, Louisville, KY 40202-2518, (502) 585-3200 by ACPA in coordination with your booked flights.
ACPA will only cover the cost of three (3) nights’ hotel accommodations plus taxes. If you want a single room, you will need to pay 50% of the room costs. We will make your reservations via a rooming list. Additional nights or other charges will be your responsibility.
Roommate Preference
Special Needs (Dietary, Access, etc.)
My institution can cover my hotel stay
Yes
No
I would like to request a single room
Yes
No
I understand that if I request a private room I will be responsible for paying 1/2 the cost of my stay
(Required)
Type your name as a signature
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