2008 CLEAR ANNUAL CONFERENCE
REQUEST FOR SPEAKER REIMBURSEMENT
To be completed by the session coordinator or subcommittee chair

A limited budget is allocated to bring important speakers to the CLEAR conference. 
No funds may be committed without the approval of the program executive committee.

Name of person making request:

Phone number or e-mail:

Subcommittee:

Date of Request:

Session Title:

Session Date and Time:

Proposed Speaker's Name:

Speaker's Organization/Agency:

Speaker's Street Address:

Speaker's City State Zip:

Speaker's Phone #:

Please explain the reason for this request (value of speaker):

Nature of the request and estimate for each category (e.g. airfare, accommodations, meals)
Please refer to CLEAR's travel policies regarding reimbursable expenses.

Total Amount Requested US $_________________