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Harman's Convention 2018 ~Anaheim, CA~
Is this your first convention? *
Which Convention are you invited to attend? *
The below lines must be an exact match as it appears on your driver's license or official picture ID you will be using.
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First Name *
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Middle Name
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Last Name *
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Gender *
Date of Birth (double check the year) *
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Address (street) *
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Address (City) *
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Address (State) *
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Address (Zip Code) *
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Corporation you are employed by? (for example: Wagstaff 100, HMC or Finance and Technology) *
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Restaurant Corporation 3 digit #
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Region you currently report to? *
What is your title? *
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What year did you start in the Harman's system? *
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Preferred Phone Number *
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Restaurant or Business Phone Number *
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Emergency Contact Name and Phone Number *
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If attending, please list Spouses name as it appears on their personal picture ID card or Driver's License.
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First Name
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Middle Name
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Last Name
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If attending, please list Spouses gender.
If attending, Spouse's Date of Birth (double check the year)
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**For first time Spouses, registered Domestic Partners, or Civil Union Partner attendees, a copy of your Marriage License, Registered Domestic Partner Certificate, or Civil Union evidence will need to be submitted to the Programs Department via FAX to (650)948-7532.
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If your Spouse works within the Harman System, what year did he/she begin?
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If your Spouse works within the Harman System, please list the Corporation (Restaurant name or HMC).
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Preferred name on your Name Badge *
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If Spouse is attending, preferred name on his/her name badge.
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***Please be aware that by registering for this event, you are committing to personally paying for any incidental or personal expenses that you may incur. These expenses include the cost of meals, travel, and rooms if you choose to "no show". In the event you do not pay for your personal expenses, please understand that Harman Management Corporation reserves the right to pay the amount you owe, bill your restaurant company, and have the amount collected from you via payroll and/or bonus withholding. *
E-Signature
Required
Arrival Airline Information, Convention "A"
Departure Airline Information, Convention "A"
If you chose 'other' on the Airline information above, please fill in your Airline arrival and departure information.
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Arrival Airline Information, Convention "B"
Departure Airline Information, Convention "B"
If you chose 'other' on the Airline information above, please fill in your Airline arrival and departure information.
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Airline Frequent Flyer - Please provide Airline name and number.
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Airline Frequent Flyer for Spouse, if attending - Please provide Airline name and number.
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If you book your own airline tickets for arrival and/or departure for Anaheim, please provide us with your arrival/departure date, time, airline and flight number.
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If you book your own travel, would you like to have shuttle service from the airport?
Choose your preferred departure city (this is not a guarantee..)
IMPORTANT AIRLINE TICKET INFORMATION - Your airline ticket will be issued electronically. You will NOT receive a paper copy in the mail. You will receive your itinerary confirmation by E-MAIL ONLY! Please print and travel with your e-mail ticket copy. Save the e-mail you receive as this will only be sent to you once. Please advise us as to your preferred e-mail address below. *
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If you have any AIR travel questions, please call TERRI KUTHER at the TRAVEL SOCIETY (303) 543-2100.
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Hotel Information - check in date *
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Hotel Information - check out date *
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Hotel reservations will be confirmed at the hotel for your scheduled arrival. Please indicate any special room requests and the hotel will do all possible to honor your requests but CANNOT GUARANTEE such requests. Please select all that applies. THIS IS A NON SMOKING HOTEL.
Room Share - If you would like to save money and would like to have a roommate, please print full name of roommate below **Refer to the 'Save Money' bulletin listed on the registration site.
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I would like to be placed on a room share wait list.
If you have any additional requests or dietary concerns, please list them here.
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**For Disneyland Discount Tickets, please visit the Disneyland Tickets Tab on the main site.
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By submitting this form electronically, you hereby prefer, request and agree that we contact you and provide to you information regarding this convention and other Harman events at the email address provided below. *
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