OLE-2 Confirmation Form

CONFIRMATION FORM OMB Number 1105-0082

Expiration: 1/31/10

PLEASE TYPE AND FAX THIS CONFIRMATION FORM BY ***Deadline for Confirmation Forms*** TO:

Employee Name: (803) 544-5137 E-Mail: [email protected]

FAX: (803) 544-5110

Sample Course

Instructor Student

District/Division:

Attendee’s Name:

Title of Attendee:

Office Address:

(Please do not use a P.O. Box)

Office Telephone: FAX Number:

E-Mail Address:

Emergency Contact and Phone Number:

Will you be staying at the National Advocacy Center? ☐ Yes ☐ No ☐ Smoking Room ☐ Non-Smoking Room

Will you need shuttle service? ☐ Yes ☐ No

Will you be driving to the NAC? ☐ Yes ☐ No

Please indicate your specific travel information below, and notify OLE if you have any changes.

ARRIVAL:

month/day/year time (am/pm) airline and flight number (if applicable)

PLEASE REMEMBER : travel authorizations must be submitted prior to attending the training.

• EOUSA/US Attorney personnel submit to their Administrative Officer

• All Other personnel submit to OLE via FAX

DEPARTURE: month/day/year time (am/pm) airline and flight number (if applicable)

PLEASE REMEMBER travel authorizations must be submitted prior to attending the training.

* EOUSA/US Attorney personnel submit to their Administrative Officer

* All Other personnel submit to OLE via FAX