Once you have replied and agreed to the speaker invitation sent via email for Vision By Design 2017, please read and fill out the information below.  

Hotel and Travel Information:

Hotel: InterContinental Dallas    15201 Dallas Parkway  Addison, TX  75001    www.icdallas.com

If the AAOMC will be covering all or part of your stay -

The AAOMC will be booking your hotel arrangements if we are paying for any part of your stay.  Any nights beyond the ones covered by the AAOMC will be your responsibility.  The AAOMC will cover room and room taxes, you are also responsible for all incidentals charged to your room.  Please refer to your speaker invitation letter for information regarding what the AAOMC will be covering.  

Please email your dates of stay as soon as possible to Sarah at oaaast@gmail.com so that a reservation can be made and a confirmation number will then be sent to you after booking.  

Please send us the following information no later than February 1st, 2017 - 

Arrival Date:
Departure Date:
Any specific aids or services needed:  


Flight And Travel Arrangements:

Flight arrangements will be the responsibility of the speaker.  The AAOMC will reimburse you for airfare if offered in your speaker invitation letter.  Please note: Only coach airfare will be reimbursed.  Please book as early as possible to secure the most economical fare.  VBD will not reimburse lodging expenses above and beyond the base hotel rate with tax. Incidental expenses will not be reimbursed. The reimbursement will only cover lodging for the period of nights that the participant is active in the VBD meeting plus one night for travel (after arrival or before departure).  

Travel:  If stated in your speaker invitation letter - we will reimburse you for one round trip coach ticket from your home town (for airfare and travel to and from airport to host hotel)  VBD speakers requesting reimbursement for airfare will be required to purchase their tickets at least 6 weeks in advance of their departure date. At all times, VBD speakers will be encouraged to keep their airfare costs as reasonable as possible. VBD will only reimburse coach/economy fares for travel. Additional costs for business class or first class tickets are the responsibility of the speaker.

Resources for watching airline fees:  Google flights (website), airfarewatchdog (website) and Hopper (app)

VBD will reimburse reasonable ground transportation expenses (limousine, taxi, bus) between the airport/train station and the meeting site. Specially chartered luxury limousine service is not reimbursable.

Personal Automobile or Alternative Transportation: If travel to VBD is done using the speaker’s automobile or a rental car, the expenses for this transportation will be reimbursed at the current usual and customary per mile rate (for personal auto) or reimbursement of rental car expenses. Expenses for other forms of alternative transportation (bus or train) to the meeting can also be reimbursed. In any case, the maximum automobile or alternative transportation expense cannot exceed that permitted for round-trip airfare reimbursement.

Reimbursement - Included in the speaker package will be a reimbursement form. The form must be turned in within thirty (30) days of the meeting end date in order to be reimbursed. Receipts will be required for reimbursement.


 

Important Dates to Remember:                                                                                                                                           

ASAP - Speaker Form filled out after being notified you will be a speaker  *See form below                                                    

12/1/2016 - COPE Documents Due

2/1/2017 -   PDF Presentation Due for E-Handout  

2/1/2017 - Final Hotel Dates Due for Reservation          

5/9/2017 - Speaker Reimbursement Form due                                                       


PLEASE FILL OUT THE SPEAKER FORM BELOW 

RETURNING SPEAKERS PLEASE NOTE:  If you submitted a speaker form last year you must fill one out again this year but you do not need to re-submit your photo and bio if you approve us to use what you sent last year - please make a note in the appropriate box below.   Thank you. 


Name *
Name
COMPLETE NAME
CE for this event requires an OE tracker Number. If you do not know the status of your OE tracker number, please visit www.arbo.org . If you do not pursue continuing education (such as an international practitioner, staff member, or sponsor rep) please enter "123" in this field.
Address *
Address
Phone *
Phone
PLEASE PROVIDE A BRIEF BIO YOU WOULD LIKE TO HAVE LISTED ON OUR MEETING WEBSITE. Note: If you provided a bio for VBD 2016 and would like us to use it again please note that in the box below.
Please link to a URL with a photo of you that can be used for our website to go with your bio. If you do not have a URL to provide please email a professional photo to OAAAST@GMAIL.COM Note: If you provided a photo last year that we can use again please note that in the box below.
http://
The General Session room will be equipped with the following: PC Laptop, Podium on riser, LCD projector and screen, Wired lavaliere microphone and a Laser pointer. Please list any additional AV items you require below.
Meeting E-Handout Release *
I authorize the AAOMC to use a version of my presentation as part of a lecture e-handout for the sole purpose of an educational resource available to attendees.
Authorization to Include E-Handout Post-Meeting *
I authorize the AAOMC/VBD to include my lecture e-handout in a post-meeting packet that will be made available for purchase to those individuals who were unable to attend the conference.
Recording at Vision By Design *
I authorize AAOMC/VBD to record my presentation for use in future promotions and advertising
Recording for Educational Use *
I authorize the AAOMC/VBD to record my presentation for educational use, as part of a library/archive resource for AAOMC members
Events You Will Be Attending *
If the AAOMC will provide meeting tuition for you as outlined in your invitation letter. You will be covered for General Sessions (Boot Camp, VBD) only. Any workshops outside of these will need to be paid for at our registration page in order for you to attend. Please check the box(es) of what you will be attending.
Dietary Requirement *
Please indicate if you require one of the following special dietary requirements. Gluten-free and Kosher attendees will be given a separate plated meal, which we will provide meal tickets for. Every meal with have a Vegetarian option included on the buffet.