School Nutrition S.T.A.R. Program – Consultant Orientation – November 28-29, 2018

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Account Number
Name*
First Last
Email*

Please enter the best email address to contact you.
Cell Phone*
Travel Information
Please fill out the following information regarding travel.
W-9 Address (Home Address)*
Street Address Address Line 2 City State ZIP Code

NOTE: This address must match the address that you have on file with The University of Mississippi's Procurement office. (You sent this in with the RFP 607.)
Transportation
Please select how you will be traveling to the Consultant Orientation.
Travel Selection*
- I will drive less than 500 miles round trip to the training. I have used Rand McNally to estimate my mileage.Total mileage must be less than 500 miles.
- I will drive more than 500 miles round trip to the training. I have used Rand McNally to estimate my mileage.
- I will purchase my own airline ticket and request reimbursement.
- I would like ICN to purchase my airline ticket.
Driving Information
Please complete this section if you will be driving to ICN for the consultant orientation.
Note: Please use RandMcNally.com to estimate your driving miles. If your mileage is more than 500 miles round trip, you must fill out the Flight Information Section so that we can do a driving vs. flying comparison.
I expect my total driving miles to be:
Note: A driving vs. flying cost comparison must be approved for round trips greater than 500 miles. Please contact your project coordinator prior to traveling.
Flight Information
Please complete this section if ICN will be purchasing your plane ticket or if your driving mileage round-trip will be over 500 miles.
Note: ICN has specific policies for purchasing your own airline ticket. DO NOT purchase your ticket without a contract. Please contact your project coordinator prior to traveling.
Full Name
First Middle Last
Full name as it appears on ID card used for airport security
Departure Airport

Please put your preferred airport that you will depart from. You will fly into Memphis, Tennessee.
Date of Birth
Month
Day
Year
Gender
- Female
- Male
Rental Car
- I will rent a car.
ICN has specific policies regarding payment of rental vehicles. Please contact your project coordinator prior to traveling.
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School Nutrition S.T.A.R. Program – Consultant Orientation – November 28-29, 2018

Travel Information

Transportation

Driving Information

Note: Please use RandMcNally.com to estimate your driving miles. If your mileage is more than 500 miles round trip, you must fill out the Flight Information Section so that we can do a driving vs. flying comparison.

Flight Information