Speaker Hotel Form

* = required fields

*First Name:

*Last Name:

*Email Address

Assistant’s Email Address:

* Arrival Date:

*Departure Date:

Number in Party:

Room Type:

Have you already booked your hotel reservation?

Yes

If yes, provide hotel confirmation number:

Life Threatening Dietary Restrictions:

Additional Comments:

HOTEL SCAM ALERT: It has come to our attention that some of our conference participants are being targeted in a hotel scam. We do not utilize any third party hotel booking services. If you are contacted by any company other than Cambridge Innovation Institute (CII) or any of CII’s divisions (including Cambridge Healthtech Institute and Cambridge EnerTech) please do not do business with them. These companies may ask for advance payment, and should you contract with them, you may be unable to confirm, make changes or receive a refund, and reservations are often canceled without advance notice.